Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP10BA01-02-2021-002644 Invoice Number :- MP10BA0120002601 Invoice Date :- 15/01/2021 05:57:52 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : MHOW NEEMUCH ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROAD, India City: JAORA PIN Code : 457226 Account/Customer Id: 1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: 23 GSTIN No : 23AAKFA1505C1ZA CIN No : Phone(M) : 916583679791658367 Phone(0) : 97 PAN No: AAKFA1505C Email : anklesariahonda@rediff GSTIN No : 23AABCB5730G1Z5 UIN: mail.com Customer Care No: 7389929794 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : MHOW NEEMUCH ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROADIndia City: JAORA PIN Code : 457226 Account/Customer Id: 1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: GSTIN No : 23AAKFA1505C1ZA CIN No : Phone(M) : 916583679791658367 Phone(0) : 97 PAN No: AAKFA1505C Email : anklesariahonda@rediffm GSTIN No : 23AABCB5730G1Z5 UIN: ail.com Customer Care No: 7389929794 Pan No: Email: Loyalty ID : Frame No.: ME4JF507KH7356553 Model Name: ACTIVA 4G Jobcard Closed Date/Time: 15/01/2021 05:57:44 PM Engine No.: JF50E75356594 ModeI Code: ACTIVA 4G SELF Service Type: ACCIDENT Reg. No.: MP43DZ0375 Color: MAJESTIC BROWN METAL Service KM : 20021 Pick & Drop Availed: Sale Date: 11/10/2017 Selling Dealer: ANKLESARIA AUTOMOBILES Unit Taxable Sr Part No/ HSN/SAC Sublet Billing Qty UoM Total Discoun Discount Description Price (Rs) Amount No Jobcode Code Job Type Amount t % (Rs) (Rs) 1 81131- COVERINNE 87141090 Paid 442.18 1 No's 442.18 442.18 KWP- R*NH1* G30ZA 2 87515- EMBLEM 87141090 Paid 109.37 1 No's 109.37 109.37 KWP-F00 RBODY COVER 3 86834- MARK5G 39199010 Paid 1.68 1 No's 1.68 1.68 KWP- *TYPE1* HOOZA 4 88210- MIRROR 70091090 Paid 92.37 1 No's 92.37 92.37 KWS-902 COMP.R 5 90344-KPL- NUTSUS 73181900 Paid 5.93 10 No's 59.30 59.30 900 5MM 6 SJ203204 OPENING & 998729 2850 Paid 0.00 1 Hrs 2,850.00 2850.00 FITTING 7 JB00056 LABOUR 998729 450 Paid 0.00 1 Hrs 450.00 450.00 CHARGE Total 4004.90 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount ---PAGE END--- No Rate Amount Rate Amount Rate Amount Rate Amount 87141090 551.55 14 77.22 14 77.22 705.98 2 39199010 1.68 9 0.15 9 0.15 1.98 3 70091090 92.37 9 8.31 9 8.31 109.00 4 73181900 59.30 9 5.34 9 5.34 69.97 5 998729 3,300.00 9 297.00 9 297.00 18 0.00 0.00 3,894.00 Invoice Amount 4780.94 Total Invoice Value (in figures) : 4781 Total Labour/Service Amount 3894.00 Total Invoice Value ( in words): Rupees Four Thousand Seven Hundred Eighty One Only Total Parts Amount 886.94 Payment Mode: Credit Total Tax Amount 776.04 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 4780.94 Terms and Conditions: For ANKLESARIA AUTOMOBILES 1. All disputes are subject to RATLAM Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or any damage 3. Goods once sold will not be taken back. Name of Signatory 4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date. Designation 5. All replacements will be subject to our inspection & approval. E. & O. E. Acknowledgement from customer: Invoice Generated by: PRAFULL SINGH Advisor Name: I/We hereby give consent that all personal or other information (information's) provided herein or otherwise can be used for the business purposes or for performance of agreement between us, if any and shall not be disclosed to any third party except to the extent its disclosure is essential as per the applicable laws or for any business requirement. The above said information may be shared or transferred with HMSI or its affiliates or group companies within or outside India for business purposes only. However, the same shall be transmitted, handled & destroyed as per the applicable law or in a manner that will preserve its confidentiality. Further, all or any of the information's provided herein or otherwise can be withdrawn/corrected by giving notice. Customer Signature Free Service Schedule Kms* Days* 1st Free Service 750-1000 15~30 * Kms or Days, whichever comes earlier 2nd Free Service 5500-6000 165~180 3rd Free service 11500-12000 350~365 Paid Service Frequency Every 6000 Kms or Within 6 months Please Note : Above Service conditions are applicable for domestic BSVI vehicles only HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END--- ANKLESARIA AUTOMOBILES GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP10BA01-2021-002601 CO. LTD. Invoice No.: MP10BA0120002601 dated 15/01/2021 Registration No.: MP43DZ0375 Invoice Amount: 4781 Customer's Signature Frame No.: ME4JF507KH7356553 Jobcard/Order Ref.: JC-MP10BA01-02- 2021-002644 dated 15/01/2021 Model Name: ACTIVA 4G Gatepass No.& Date: Security In-Charge Vehicle/ Goods received in good condition and to our satisfaction Customer Feedback Form Instant Feedback Instant Redressal Dear Sir/Ma'am We are thankful to you for spending little time for us while filling this feedback form. Your valuable inputs will enable us for continuous improvement of our service quality. Thanking you Once Again. Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. Date : 15/01/2021 Customer Address: Frame No.: ME4JF507KH7356553 Model Name: ACTIVA 4G Jobcard No: JC-MP10BA01-02-2021-002644 Reg. No.: MP43DZ0375 SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR NO. 1 Overall Job card opening process [ 1 [1 [ 1 [1 [1 2 Overall Service advisor performance [1 [] [1 [1 [] 3 Overall Workshop facilities [ 1 [] [1 [] [] 4 Overall Quality of service/repair [ ] [ 1 [] [ ] [ ] 5 Overall Service Delivery [ ] [ ] [ ] [ ] [ ] ANY OTHER SUGGESTIONS/ COMMENTS: Customer Signature INSTANT REDRESSAL OF CONCERN CRM Remark CRM Signature Customer Signature WE APPRECIATE YOUR VALUABLE TIME WHICH YOU HAVE INVESTED IN OUR SERVICE TRACKER. YOUR ---PAGE END---