CUSTOMER PROFILE
mdßfNda.sl f;dr;=re
thbf;ifahsh; tpguk;
We’d like to get to know you better.
NISSAN
SUZUKI
MARUTI
PIAGGIO
ksidka
ep]hd;
iqiqls
R#f;fps
ureá
khUj
mshdðfhda
gpah[pNah
NEW HOLLAND
YAMAHA
OTHER
ksõ fyda,kaâ
epa+ n`hyd;l
huyd
ak`h
fjk;a
Vidait
Associated Motorways Private Limited (AMW) would like to bring you the best of automotive products with the highest standards
of Customer Service. In order for us to better understand your needs and expectations, please take a few minutes to fill in the
following questionnaire and return same to us directly or any of our branches.
wjfndaOh ;=<ska ;Dma;su;a fiajdjla i`oyd
wefidaisfhagâ fudag¾fõia ^mqoa.,sl& iud.u f,dj ms<s.;a ksIamdokhka Tn fj; f.fkk iy b;d Wiia mdßfNda.sl fiajdjka msßkuk iud.uls' Tn ms<sn`oj ukd
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iDcqj wm fj; fyda wmf.a YdLdjla fj; Ndrfok fuka ldreKslj b,a,d isáuq'
ehk; cq;fis ed;F mwpa tpUk;GfpNwhk
mNrh\pNal;ll; Nkhl;lh;Nta;]; gpiwNtl; ypkpl;ll; (AMW) cq;fSf;F mjprpwe;j thfdq;fisAk; Jizr; rhjdq;fisAk; kpfTah;e;j thbf;ifahsh;
Nritj; juhjuq;fSld; toq;Ftjw;F tpUk;Gfpd;wJ. cq;fs; NjitfisAk vjph;ghh;g;Gf;fisAk; ehk; ed;F mwpe;Jnfhs;tjw;F cjTk; tifapy;>
jaTnra;J fPo;f;fhZk; Nfs;tpf;nfhj;ij epug;gp Neubahf vk;kplk; my;yJ vkJ fpisnahd;wpy; ifaspAq;fs;.
1)
Salutation
kduh
me;j];J
Mr.
Mrs.
Ms.
Dr.
Prof.
Ven.
Rev.
uhd
ñh
fufKúh
uydpd¾h
mQcH
mQcl
jpU.
jpUkjp
nry;tp
ffjoH$
wdpd¾h
nlhf;lh;
Nguhrphpah;
rq;.
tz.
Other.................................................................................................................................................................... (specify)
^we;akï&
(Fwpg;gplTk;)
fjk;a
NtW
2)
Name
iïmQ¾K ku
ngah;
First Name
Ndú;d lrk ku
Kjw; ngah;
Surname
gpujhd ngah;
3)
NIC No
cd;sl ye`ÿkqïm;a wxlh
Nj.m.m. ,y.
4)
Date of birth
Wmka Èkh
D
D
M
(optional)
M
wksjd¾h fkdfõ
(fl;lhakpy;iy)
gpwe;j jpfjp
5)
Contact Details
iïnkaO lr.; yels
njhlh;G tpguq;fs;
6)
Y
Y
Y
Y
Mobile No.
cx.u ÿrl:k wxlh
nkhigy; ,y.
Email
Bfï,a
kpd;dQ;ry;
Postal Address
iaÒr ,smskh
ksjfia$ksjdi ixlS¾K wxlh(
jghy; Kfthp
ùÈh(
House/Apartment No.
Street:
City:
k.rh(
Province:
m<d;(
WP
niakdysr
Nk.kh.
UP
W!j
C.kh.
www.amwltd.com
CP
uOHu
k.kh.
NCP
W;=reueo
t.k.kh.
SP
ol=K
nj.kh.
NWP
jhU
t.Nk.kh
NP
W;=r
t.kh.
SBP
inr.uqj
r.kh.
EP
kef.kysr
fp.kh.
7)
Education
wOHdmk f;dr;=re
Secondary
Graduate
Post Graduate
Professional
oaú;Shsl
,ilepiy
WmdêOdÍ
gl;ljhhp
mYapd;a WmdêOdÍ
KJepiyg;gl;lk;
jD;a;Suh
Nguhrphpah;
Household Income (LKR, in thousands)
mjqf,a udisl wdodhu - remsh,a oioyia j,ska
15 - 30K
30 - 50K
fy;tp
8)
75 - 100K
100 - 200K
Over 200K
200 jeä
FLk;g tUkhdk; (Mapuk; &gha;fspy;)
9)
50 - 75K
200f;F Nky;
Marital Status
újdyl$wújdyl
ypthf epiy
Single
Married
wújdyl
jdpahs;
újdyl
tpthfkhdth;
10) Spouse’s Name
ld,;%hdf.a ku
tho;f;ifj; Jizthpd; ngah;
Does he/she drive
Tyq fyda weh ßh mojkafkao@
mth; thfdk; nrYj;Jgtuh?
11) Date of Anniversary
újdy ixj;air Èkh
D
Yes
No
Tõ
Mk;
ke;
,y;iy
D
M
M
Y
Y
Y
Y
jpUkz Mz;L epiwT jpdk;
12) Names of Children and their Dates of Birth
orejkaf.a kï iy Tjqkaf.a Wmka Èkhka
gps;isfspd; ngah;fSk; mth;fspd;
gpwe;j jpfjpfSk;
13) Preferred Language of Communication
ikaksfõokh i`oyd Ndú;d lrk NdIdj
njhlh;ghlYf;F tpUk;gg;gLk; nkhop
1)
D
D
M
M
Y
Y
Y
Y
2)
D
D
M
M
Y
Y
Y
Y
3)
D
D
M
M
Y
Y
Y
Y
4)
D
D
M
M
Y
Y
Y
Y
Sinhala
Tamil
English
isxy,
rpq;fsk;
fou<
jkpo;
bx.S%is
Mq;fpyk;
14) Occupation / Profession
/lshdj
Ntiy ⁄ njhopy;
15) Employer / Company
fiajd ia:dkh
njhopy; toq;Feh; ⁄ epWtdk;
16) Position within the Company
;k;=r
epWtdj;jpy; tfpf;Fk; gjtp
Owner
Senior
Executive
ysñlre
chpikahsh;
fcHIaG
rpNu\;l
úOdhl
mjpfhhp
Director
Middle
wOHCIl
gzpg;ghsh;
uOHu
eLj;ju
www.amwltd.com
17) Vehicle Ownership
jdykfha ysñldß;ajh
jw;NghJs;s thfdk;
18) Current Vehicle
j¾;udkfha Ndú;d lrk jdykh
ms<sn`o úia;r
cq;fs; thfdj;ij vq;F
gOJghh;f;fpwPh;fs;?
Owned
Leased
Rented
Company
ysñlre
nrhe;j
,Sia
Fj;jif
l=,S moku
thlif
iud.u i;=
epWtd
a) Registration No:
w& ,shdmÈxÑ wxlh
(m) gjpT ,yf;fk;:
b) Make / Brand:
wd& ksIamdokh$ikaku
(M) tif ⁄ th;j;jfg; ngah;:
c) Model:
we& jdykfha j¾.h
(,) nkhly
d) Year of Manufacture:
wE& ksIamdÈ; j¾Ih
(c) cw;gj;jp Mz;L
e) Year of First Registration:
b& m<uq ,shdmÈxÑ j¾Ih
(C) Kjy; gjpT Mz;L
f ) Brand New
B& kj;u$
n%Ekaâ ksõ
(v) Gj;jk;GjpaJ
Reconditioned
Ílkaäika$
Ndú;d lrk ,o
kWrPuikj;jJ
g) Mileage:
W& Odjkh lr we;s ÿr
(V) ikNy[;
19) Where do you Repair your Vehicle?
Tfí jdykh w¨;ajeähd lrk ia:dkh@
cq;fs; thfdj;ij vq;F gOJghh;ff
; pwhP f
; s;?
20) Where do you Service your Vehicle?
Tfí jdykh kv;a;= fiajd lrk ia:dkh@
cq;fs; thfdj;ij vq;F Nrh;tp]; nra;fpwhP f
; s;?
21) Preferred Media - Channel/Institution
Tn jeäfhkau Ndú;d lrk udOHhka ^udOH wdh;kfha ku&
ePqf
; s; tpUk;Gk; Clfk; - rndy;; ⁄ epWtdk;
1) TV
rEmjdysks
njhiyf;fhl;rp
2) Radio
.=jka úÿ,s
thndhyp
3) Press
mqj;am;
gj;jphpif
4) Magazine
i`.rdj
rQ;rpif
5) Other
fjk;a
NtW
www.amwltd.com
Disclaimer:
Thank you for your time. All information provided shall be treated in strict confidence and shall be used solely for the purpose of gearing AMW's service
standards to better suit our customers' requirements, as well as for marketing and promotional activities carried out by AMW.
For office use only
Account No.
Name of Employee
Sticker affixed
Location
Date
Privilege Card accepted by
n,h mejÍu(
Tnf.a jákd ld,h wm fjkqfjka fjkalsÍu ms<sn`o wmf.a ia;+;sh' Tnf.a ish¨ f;dr;=re ms<sn`o ryiHNdjh wm iud.u úiska iy;sl jk w;r" jvd Wiia
fiajdjla Tn fjkqfjka iemhSu i`oyd iy wm iud.fï wf,ú iy m%j¾Ok ls%hdldrlï i`oyd muKla jk nj okajd isáuq'
ld¾hd, Ndú;h i`oyd mu‚
.sKqï wxlh
fiajlhdf.a ku
iaálrh w,jk ,o Èkh
ia:dkh
Èkh
jrm%ido ldâm; Ndr.ekSu
ifJwg;G:
ePq;fs; nrytpl;l Neuj;jpw;F ed;wp. ,q;F toq;fg;gl;Ls;s rfy tpguq;fSk; kpfTk; ,ufrpakhfg; Ngzg;gLtJld;>
thbf;ifahsh;fspd; Njitf;Nfw;g AMW Nritfis Nkk;gLj;Jtjw;fhfTk; AMW %yk; Nkw;nfhs;sg;gLk; re;ijg;gLj;jy;
kw;Wk; Cf;Ftpg;G eltbf;iffSf;fhfTk; khj;jpuNk gad;gLj;jg;gLk;.
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miktplk;
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rYif ml;ilia Vw;Wf;nfhz;lth;
www.amwltd.com