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CLAIM APPLICATION FORM

TYREFULL TYRE CLAIM APPLICATION FORM

(TBR  OTR  BIAS)

Customer Information

Tyre Details

Name Size
Country  Pattern Design 
Claim Date Tyre Serial Number
Telephone No.  Ply Rate
Fax No. Left Tread Deepth (mm)
E-mail   Dot Number (if available)

Whole Tyre Picture

 Defect Detail Picture

Tyre Serial No. Picture

Defect Description and Analysis

Notice: Please fill this table completely for our correct evaluation on the failure tyre 

 

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