Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-UP69SA01-02-2021-000404 Invoice Number :- UP69SA0120000387 Invoice Date :- 16/10/2020 12:10:40 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ CO BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED. Dealer Name: GAURAV HONDA Name: BAJAJ ALLIANZ CO BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED. Address : NH-24,HN.19,MANDHIYA JATAN PILKHUWA India Address: c-31 sector-2 2nd floor near -NIRULAS, NOIDA.., India City: GHAZIABAD PIN Code : 245304 Account/Customer Id: 1-15ID5PS9 1-15GDGRVQ State: UP State 9 City: NOIDA PIN Code : 201301 Code: Phone(M) : Phone(O): State: UP. State Code: 9 GSTIN No : 09DMGPS7337B1ZT CIN No : Phone(M) : 892313561199997676 Phone(0) : 14 PAN No: Email : GAURAVHONDAPILK GSTIN No : 09AABCB5730G1ZV UIN: HUWA@GMAIL.COM Customer Care No: 8273597330 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ CO BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED. Dealer Name: GAURAV HONDA Name: BAJAJ ALLIANZ CO BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED. Address : NH-24,HN.19,MANDHIYA JATAN PILKHUWA India Address: c-31 sector-2 2nd floor near -NIRULAS, NOIDA..India City: GHAZIABAD PIN Code : 245304 Account/Customer Id: 1-15ID5PS9 1-15GDGRVQ State: UP State 9 City: NOIDA PIN Code : 201301 Code: Phone(M) : Phone(O): State: UP. State Code: GSTIN No : 09DMGPS7337B1ZT CIN No : Phone(M) : 892313561199997676 Phone(0) : 14 PAN No: Email : GAURAVHONDAPILK GSTIN No : 09AABCB5730G1ZV UIN: HUWA@GMAIL.COM Customer Care No: 8273597330 PAN No: Email: Loyalty ID : 2552020000025733 Frame No.: ME4JC65DGKD047394 Model Name: CB SHINE Jobcard Closed Date/Time: 16/10/2020 12:10:28 PM Engine No.: JC65ED0097028 ModeI Code: CB SHINE DRUM CBS Service Type: ACCIDENT Reg. No.: UP37M3584 Color: IRED-M Service KM : 6543 Pick & Drop Availed: Sale Date: 26/10/2019 Selling Dealer: J K M MAKFIN PRIVATE LIMITED Billing Unit Discoun Taxable Sr Part Nol HSN/SAC Sublet Price Total Discount No Description Code Job Type Qty UoM Amount t % (Rs) Amount Jobcode (Rs) (Rs) 1 42650-KTE- WHEEL SUB 87141090 Paid 3,858.59 1 No's 3,858.59 3,858.59 601ZA ASSY*NH- 303M* 2 33703-KTE- COMPTAIL 85122010 Paid 233.89 1 No's 233.89 233.89 D01 LIGHT 3 77270-KTE- COWL SET L 87141090 Paid 501.55 1 No's 501.55 501.55 600ZC RR *TYPE 3* 4 77260-KTE- COWL SET R 87141090 Paid 511.70 1 No's 511.70 511.70 600ZD RR *TYPE 2* 5 77280-KTE- COWL SET 87141090 Paid 217.78 1 No's 217.78 217.78 650ZD RR. CENTER (WL)*TYPE2* 6 53100-KTE- PIPE 87141090 Paid 321.87 1 No's 321.87 321.87 A01 STEERING HANDLE 7 SJ203222 LABOUR 998729 400 Paid 0.00 1 Hrs 400.00 400.00 ---PAGE END--- Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 5411.49 14 757.61 14 757.61 6,926.71 2 85122010 233.89 9 21.05 9 21.05 275.99 3 998729 400.00 9 36.00 9 36.00 18 0.00 0.00 472.00 Invoice Amount 7674.70 Total Invoice Value (in figures) :7675 Total Labour/Service Amount 472.00 Total Invoice Value ( in words): Rupees Seven Thousand Six Hundred Seventy Five Only Total Parts Amount 7202.70 Payment Mode: Cash Total Tax Amount 1,629.32 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 7674.70 Terms and Conditions: For GAURAV HONDA 1. All disputes are subject to HAPUR 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: AJAY Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END--- GAURAV HONDA GATEPASS Customer Name: BAJAJ ALLIANZ CO Ref No: SERINV-UP69SA01-2021-000387 Invoice No.: UP69SA0120000387 dated 16/10/2020 Registration No.: UP37M3584 Invoice Amount: 7675 Customer's Signature Frame No.: ME4JC65DGKD047394 Jobcard/Order Ref.: JC-UP69SA01-02- 2021-000404 dated 16/10/2020 Model Name: CB SHINE 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 CO Date : 16/10/2020 Customer Address: Frame No.: ME4JC65DGKD047394 Model Name: CB SHINE Jobcard No: JC-UP69SA01-02-2021-000404 Reg. No.: UP37M3584 SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR NO. 1 Overall Job card opening process [] [] [] [ ] [ ] 2 Overall Service advisor performance [] [] 1 [ ] 3 Overall Workshop facilities [ ] [ ] [ 1 [ ] 4 Overall Quality of service/repair [ ] [] [ ] 5 Overall Service Delivery [] [ ] [] [ 1 [ ] 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. ---PAGE END---