Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP100001-02-2021-019420 Invoice Number :- MP10000120017843 Invoice Date :- 05/02/2021 10:31:25 AM 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 : 1, NEW ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROAD, India City: RATLAM PIN Code : 457001 Account/Customer Id: 1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 7412236809 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 : 1, NEW ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROADIndia City: RATLAM PIN Code : 457001 Account/Customer Id:1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 7412236809 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.: ME4JF50AMKD158894 Model Name: ACTIVA 5G Jobcard Closed Date/Time: 03/02/2021 10:12:09 AM Engine No.: JF50ED0158902 ModeI Code: ACTIVA 5G STD Service Type: ACCIDENT Reg. No.: MP43EF7225 Color: MAT AXIS GRAY METALL Service KM : 4001 Pick & Drop Availed: Sale Date: 21/02/2020 Selling Dealer: ANKLESARIA AUTOMOBILES Billing Unit Discoun Discount Taxable Sr Part No/ Description HSN/SAC Sublet Price Total No Jobcode Code Job Type Qty UoM Amount t % (Rs) Amount (Rs) (Rs) 1 81131- COVERINNE 87141090 Paid 442.18 1 No's 442.18 442.18 KWP- R*NH1* H0OZA 2 64200- SET 87141090 Paid 560.93 1 No's 560.93 560.93 KWP- ILLUSTFR H00ZB COVER *TYPE7* 3 05321- KITRACE 87141090 Paid 318.74 1 No's 318.74 318.74 KEM-P00 STEERING 4 44301-KPL- AXLEFR 87141090 Paid 87.50 1 No's 87.50 87.50 900 WHEEL 5 90306-KTE- NUTFLANGE 73181600 Paid 37.28 1 No's 37.28 37.28 911 SPL 12MM 6 50330- TRAY 87141090 Paid 285.93 1 No's 285.93 285.93 KWP-H00 COMPBATTE RY 7 53100- HANDLE 87141090 Paid 466.41 1 No's 466.41 466.41 KWP-H00 COMPSTRG ---PAGE END--- KWP-H00 ASSYFR 9 51400- CUSHION 87141090 Paid 323.43 1 No's 323.43 323.43 KWP-H01 ASSYR FR (GIL) 10 53250- COVER 87141090 Paid 155.46 1 No's 155.46 155.46 KWP- COMPHANDL HOOZA E RR*NH1* 11 64304- COVER 87141090 Paid 739.06 1 No's 739.06 739.06 KWP- COMPR FR F0OZZ 12 53175- LEVER R 87141090 Paid 72.65 1 No's 72.65 72.65 KWP-D00 STRG HANDLE 13 33410- LENSECOMP 85122010 Paid 138.98 1 No's 138.98 138.98 KWP-F01 R 14 53178- LEVERL 87141090 Paid 85.16 1 No's 85.16 85.16 KWP-D00 STRG HANDLE 15 90601-SJA- CLIP SNAP 87149990 Paid 3.90 8 No's 31.20 31.20 003 FITTING 16 90310-KPL- LOCK 73181600 Paid 10.16 2 No's 20.32 20.32 900 NUTMIRROR R 17 88120- MIRROR 70091090 Paid 150.84 1 No's 150.84 150.84 KWP-F01 ASSY L BACK 18 90344-KPL- NUTSUS 73181900 Paid 5.93 10 No's 59.30 59.30 900 5MM 19 90101-GE0- SCREWHING 73181900 Paid 5.08 10 No's 50.80 50.80 000 EPATCH 20 51103- COVER R 87141090 Paid 29.68 1 No's 29.68 29.68 KWP-940 PIVOT 21 SJ203232 PAINTING 998729 3500 Paid 0.00 1 Hrs 3,500.00 3500.00 22 SJ203204 OPENING & 998729 1050 Paid 0.00 1 Hrs 1,050.00 1050.00 FITTING Total 10702.71 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 5663.99 14 792.96 14 792.96 7,249.91 2 73181600 57.60 9 5.18 9 5.18 67.97 3 85122010 138.98 9 12.51 9 12.51 164.00 4 87149990 31.20 14 4.37 14 4.37 39.94 5 70091090 150.84 9 13.58 9 13.58 177.99 6 73181900 110.10 9 9.91 9 9.91 129.92 ---PAGE END--- Invoice Amount 13198.72 Total Invoice Value (in figures) : 13199 Total Labour/Service Amount 5369.00 Total Invoice Value ( in words): Rupees Thirteen Thousand One Hundred Ninety Nine Only Total Parts Amount 7829.72 Payment Mode: Credit Total Tax Amount 2,496.01 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 13198.72 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: RAMCHARAN 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 * 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-MP100001-2021-017843 CO. LTD. Invoice No.: MP10000120017843 dated 05/02/2021 Registration No.: MP43EF7225 Invoice Amount: 13199 Customer's Signature Frame No.: ME4JF50AMKD158894 Jobcard/Order Ref.: JC-MP100001-02- 2021-019420 dated 03/02/2021 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 : 05/02/2021 Customer Address: Frame No.: ME4JF50AMKD158894 Model Name: ACTIVA 5G Jobcard No: JC-MP100001-02-2021-019420 Reg. No.: MP43EF7225 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---