Scan QR Code for "Customer Awareness Videos" Tax Invoice Original For Recipient Second for transporter Third for supplier Dealer Code: MP100001 Ref No: SERINV-MP100001- Invoice Date/Time: 21/08/2020 12:34:07 PM 2021-006732 CRN: Invoice No.: MP10000120006732 Billed To: Ship To: Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ Name: ANKLESARIA AUTOMOBILES Address: 1, NEW ROAD RATLAM GENERAL INSURANCE CO. Address: 1, NEW ROAD MP India LTD. Customer Id : 1-14N4YYZL Address: Pincode: 457001 PH: 9165836797 RATLAM MP India Tele: 7412236809 FAX No: Email: PH 7412236809 Email: anklesariahonda@rediffmail.com Account: Email: anklesariahonda@rediffmail.com GSTIN : 23AAKFA1505C1ZA GSTIN Date: Name: BAJAJ ALLIANZ GSTIN: 23AAKFA1505C1ZA PAN: AAKFA1505C GENERAL INSURANCE CO. PAN: AAKFA1505C LTD Account Id : Address: 4TH FLOOR, COMMERECE HOUSE 7, RACE COURSE ROAD INDORE,MP, CIN : India 452001 CIN: PH: 9165836797 GSTIN: 23AABCB5730G1Z5 PAN: CIN: State : MP Customer Care No: State Code:23 State: State Code: State: MP State Code: 23 7389929794 Vehicle Details: Job Card Detail : Place of Supply : Frame No.: Model Name: ACTIVA Jobcard No : JC-MP100001-02- Name: ANKLESARIA AUTOMOBILES ME4JF49NCLD004400 125 2021-007455 Engine No.: JF49ED4011930 Model Code: ACTIVA Jobcard Closed Date/Time: Address: 1, NEW ROAD RATLAM 125 DRUM ALLOY- 20/08/2020 04:12:24 PM MPIndia BSVI Color: MIDNIGHT Reg. No.: AF Service Type: ACCIDENT GSTIN: 23AAKFA1505C1ZA BLUE METALL Pick & Drop Availed: Sale Date: 16/07/2020 Selling Dealer: ANKLESARIA Service KM : 965 State: MP State Code: 23 Loyalty ID: AUTOMOBILES Billing Unit Taxable Sr Part No/ HSN/SAC Sublet Total Discount Discount Description Price Qty UoM Amount No Jobcode Code Job Type Amount % (Rs) (Rs) (Rs) 1 64304- COVER R. 87141090 Paid 717.96 1 No's 717.96 717.96 KOL- FR. P00ZZ 2 SJ203204 OPENING 998729 250 Paid 0.00 1 Hrs 250.00 250.00 & FITTING 3 SJ203232 PAINTING 998729 1700 Paid 0.00 1 Hrs 1,700.00 1700.00 Total 2667.96 Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount No Code Amount Rate Amount Rate Amount Rate Amount Rate Amount ---PAGE END--- 2 998729 1,950.00 9 175.50 9 175.50 0.00 2,301.00 Invoice Amount 3219.99 Total Invoice Value (in figures) :3220 Total Labour/Service Amount 2301.00 Total Invoice Value ( in words): Rupees Three Thousand Two Hundred Twenty Only Total Parts Amount 918.99 Payment Mode: Cash Total Tax Amount 552.03 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 3219.99 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 Customer's Signature Advisor Name: 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-MP100001-2021-006732 CO. LTD. Invoice No.: MP10000120006732 dated 21/08/2020 Registration No.: AF Invoice Amount: 3220 Customer's Signature Frame No.: ME4JF49NCLD004400 Jobcard/Order Ref.: JC-MP100001-02- 2021-007455 dated 20/08/2020 Model Name: ACTIVA 125 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 : 21/08/2020 Customer Address: Frame No.: ME4JF49NCLD004400 Model Name: ACTIVA 125 Jobcard No: JC-MP100001-02-2021-007455 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 ---PAGE END---