CNG HA X HI CH NGHA VIT NAM

CNGHAXHICHNGHAVITNAM

SOCIALIST REPUBLIC OF VIETNAM clpTdoHnhphc

Independence - Freedom - Happiness

BINBNBNGIAOXE T

HANDING AND TAKING OVER OF VEHICLE

Cn c vo Hp ng Thu xe s / Pursuant to the Car Rental Contract No.................................... Bn giao / Deliverer: NGUYN HOI NAM i din bn giao / Represented by: ..........................Giao xe ti a im / Place of Delivery: CNG TY TNHH BC N SST VIT NAM Ngy giao xe / Delivery Date: 31/07/2014Bn nhn / Recipient: CNG TY TNHH BC N SST VIT NAM / SST BEARINGS VIETNAM

i din bn nhn/ Represented by: ng / Mr. Larry Brian Jones

in thoi / Phone No.:..........................................a ch / Address: 6-8 ng / Street 12, KCN VSIP 2-A, Tn Uyn, Bnh Dng.

Cng tin hnh kim tra, nh du xc nhn cc phn t 1 n 5 v ng k vo bin bn ny bn giao cho Bn nhn mt (01) xe nh di y / The two parties conduct an inspection of ................................... and confirm the results of inspection, and then sign the form:1. Xe / VehicleModel xeXE S / Number PlateMu xe / Color

INOVA 2014 G61A -17298BC / Silver

Tnh trng xe / Condition of VehicleStt

Or. No.Danh mc kim tra

Items for inspectionXc nhn

Confirmation

1Bn ngoi xe sch s, khng try / The outside body is clean and has no scratches.

2Bn bnh xe mi / The 4 wheels are still in good condition and look brand new.

3.Trang b theo xe / Assessories (*) Stt

Or. No.Tn / ItemsXc nhn

Confirmation

1B dng c thay lp: con i, tay quay, tup m c bnh xe

Tire-changing tools: Jack, wrench, locking wheel nut remover

2Mc ko xe

Tow hitch

3B dng c sa cha nh

Small repair kit

4B thm sn

Floor mats

5Chp trc bnh xe

Axle Cap

6Bnh xe d phng

Spare wheel

7Gt tn thuc

Ash tray

8Chp nha chn gh cui

Back chair leg caps

4. B h s xe / Set of Car Papers H s xe cha ng k / Unregistered Files

Stt/O.NTn chi tit / ItemsBn chnh / OriginalBn sao / Copy

1Giy Xe - Registration card

2S ng kim xeVehicle safety compliance certification

3Giy BH xe hai chiu - 2-way Insurance

4Giy BH nhn s - Personnel Insurance

5.Qu tng khuyn mi / Promotion gifts (nu c / If any)Stt/

Or.NTn qu tng / ItemsXc nhn

Confirmation

1

2

3

Stt/

Or.NDanh mc kim tra / Items for InspectionXc nhn

Confirmation

3Bn trong xe sch s / The inside body is clean

4Khoang ng c sch s / The engine compartment is clean

Stt/

Or.NTn / ItemsXc nhn

Confirmation

9Bnh cha chy / Fire extinguisher

10Ba thot him / Emergency Hammer

11Chn bnh xe / Wheel chock

12Mi thuc l / Lighter

13Cha kha ca c kha ca t xa /Ignition Key with a remote control

14Kha ca khng c kha ca t xa /Ignition Key without a remote control

15Sch HDSD xe / Car Manual

16Sch HDSD u CD/DVD / CD/DVD Manual

17S Bo hnh / Guarantee Book

18Sch An ton Toyota / Safety Manual

i din bn giao gii thch k nhng ni dung trn. i din bn nhn nghe v xc nhn nhng ni dung trn. / The representative from the deliverer has clearly explained the abovementioned contents. The representative from the recipient has carefully listened to and confirmed the abovementioned contents.Bin bn ny c lp thnh hai (02) bn c gi tr nh nhau, mi bn gi mt (01) bn. / This document is made in 2 originals with the same validity; one original is kept by each of the parties. i din Bn Giao i din Bn Nhn

Representative from the Deliverer Representative from the Recipient

(K, ghi r h tn / Signature and Full Name) (K, ghi r h tn / Signature and Full Name)