Title Page
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Document No.
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Vehicle Registration Number
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Conducted on
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Report Completed By
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Location
General Vehicle and Customer Details
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Customer Name
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Colour
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Mileage
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Countdown Mileage/Days
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Mark damages on the image below as per the key.
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Existing Damage
- Chips
- Rust
- Dent
- Scratch
- Extensive Damage
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Key Number:
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The signature below only constitutes an acknowledgement of the above noted condition at the time the vehicle was collected and does not necessarily imply an acceptance of responsibility.
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Customer Signature
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Date
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Driver Signature
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Applicable only if the customer or their representative was not present at the vehicle collection:
Dear Customer,
At the time your vehicle was collected the condition was documented as above. Please call Porsche immediately to discuss. Thank you.
Vehicle Information/Damage
Vehicle Information
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Vehicle Make
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Vehicle Model
Damages - Specify each damage - where it is located/how much damage/what kind of damage
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Damage 1 Description
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Damage 1
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Damage 2 Description
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Damage 2
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Damage 3 Description
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Damage 3
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Damage 4 Description
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Damage 4
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Damage 5 Description
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Damage 5
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The signature below only constitutes an acknowledgement of the above noted condition at the time the vehicle was collected and does not necessarily imply an acceptance of responsibility.
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Driver's Signature
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Customer's Signature
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Applicable only if the customer or their representative was not present at the vehicle collection: Dear Customer, At the time your vehicle was collected the condition was documented as above. Please call Porsche immediately to discuss. Thank you.