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Tax Invoice
Order Number :- JC-MP10BA01-02-2021-002682 Invoice Number :- MP10BA0120002588 Invoice Date :- 14/01/2021 03:05:01 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 : 2552000000736219
Frame No.: ME4JF50AKKG324026 Model Name: ACTIVA 5G Jobcard Closed Date/Time: 14/01/2021 03:04:54 PM
Engine No.: JF50EG0324094 ModeI Code: ACTIVA 5G STD Service Type: ACCIDENT
Reg. No.: AF Color: PEARL PRECIOUS WHITE Service KM : 61715
Pick & Drop Availed: Sale Date: 31/10/2019 Selling Dealer: ANKLESARIA AUTOMOBILES
Billing Unit Discoun Discount Taxable
Sr Part No/ Description HSN/SAC Sublet Qty Total
Price UoM Amount
No Jobcode Code Job Type Amount t % (Rs)
(Rs) (Rs)
1 51110- FORK SUB 87141090 Paid 2,096.86 1 No's 2,096.86 2,096.86
KWP-H00 ASSYFR
2 05321- KITRACE 87141090 Paid 318.74 1 No's 318.74 318.74
KEM-P00 STEERING
3 87515- EMBLEM 87141090 Paid 109.37 1 No's 109.37 109.37
KWP-F00 RBODY
COVER
4 86834- MARK5G 39199010 Paid 1.68 1 No's 1.68 1.68
KWP- *TYPE1*
H0OZA
5 18318- PROTECTOR 87141090 Paid 53.12 1 No's 53.12 53.12
KWP-H00 MUFFLER
6 88210- MIRROR 70091090 Paid 92.37 1 No's 92.37 92.37
KWS-902 COMP.R
7 SJ203203 DENTING & 998729 2000 Paid 0.00 1 Hrs 2,000.00 2000.00
PAINTING
8 JB00056 LABOUR 998729 400 Paid 0.00 1 Hrs 400.00 400.00
CHARGE
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Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount
No Amount
Rate Amount Rate Amount Rate Amount Rate Amount
1 87141090 2578.09 14 360.93 14 360.93 3,299.96
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 998729 2,400.00 9 216.00 9 216.00 18 0.00 0.00 2,832.00
Invoice Amount 6242.93
Total Invoice Value (in figures) : 6243 Total Labour/Service Amount 2832.00
Total Invoice Value ( in words): Rupees Six Thousand Two Hundred Fourty Three Only Total Parts Amount 3410.93
Payment Mode: Credit Total Tax Amount 1,170.79
If reverse charge applicable, then specify amount of tax: Total Invoice Amount 6242.93
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 affliates 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
165~180 * Kms or Days, whichever comes earlier
2nd Free Service 5500-6000
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
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joyclub With Honda Joy Club
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ANKLESARIA AUTOMOBILES
GATEPASS
Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP10BA01-2021-002588
CO. LTD. Invoice No.: MP10BA0120002588
dated 14/01/2021
Registration No.: AF Invoice Amount: 6243 Customer's
Signature
Frame No.: ME4JF50AKKG324026 Jobcard/Order Ref.: JC-MP10BA01-02-
2021-002682
dated 14/01/2021
Model Name: ACTIVA 5G 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 : 14/01/2021
Customer Address:
Frame No.: ME4JF50AKKG324026 Model Name: ACTIVA 5G
Jobcard No: JC-MP10BA01-02-2021-002682 Reg. No.: AF
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
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