Total Invoice Value (in figures) :3489 NAVJIVAN AUTOMOBILES PVT LTD Total Labour/Service Amount 649.00 Total Invoice Value ( in words): Rupees Three Thousand Four Hundred Eighty Nine Only GATEPASS Total Parts Amount 2839.97 Payment Mode: CreditCustomer Name: ANUP TIWARI Ref No: SERINV-GJ05BA07-2021-001657 Total Tax Amount 720.24 If reverse charge applicable, then specify amount of tax:Scan QR Code Invoice No.: GJ05BA0720001657 Total Invoice Amount 3488.97 for dated 19/02/2021 Terms and Conditions:"Customer Awareness Videos" For NAVJIVAN AUTOMCUTOMQRILEMPYTLTD 1. All disputes are subject to SURAT Jurisdiction. 2. Our responsibility ceases after materials are delivered & we are not responsible for any loss or anyRegistration No.: GJ05EY4462Tax InvoiceInvoice Amount: 3489 Customer's damage Signature G. S Order Number :- JC-GJ05BA07-02-2021-0026873. Goods once sold will not be taken back.Invoice Number :- GJ05BA0720001657 Name of SignatoryInvoice Date :- 19/02/2021 06:40:34 PM R Document Type :- Invoice4. Interest @ 18% will be charged on amount remaining unpaid after 45 days of invoice date.Frame No.: ME4JC65DLKD133243Jobcard/Order Ref.: JC-GJ05BA07-02-DesignationSupply Type : 5. All replacements will be subject to our inspection & approval. E. & O. E.Supplier Details (Ship From) : 2021-002687 Ship To (Place of Delivery): Legal Name:Acknowledgement from customer: dated 19/02/2021Legal Name : ANUP TIWARIInvoice Generated by: RATPY: MASMUKH. Dealer Name:Model Name: CB SHINENAVJIVAN AUTOMOBILES PVT LTD Gatepass No.& Date:Name: ANUP TIWARIAdvisor Name: Security In-Charge Address :IWe 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 thirdVehicle/ Goods received in good condition and to our satisfactionDHRU HOSPITAL GALI,NR.SMC OFFICE, NAVAGAN DINDOLI.Address:49 VIJAY NAGAR India 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 affiates or group companies within or outside India forIndia City: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 beSURATPIN Code :394210Account/Customer Id:1-131LVQ0Y State:withdrawn/corrected by giving notice.Gujarat State 24 City: SURAT PIN Code : 394210 Code: Phone(M) : Phone(O): State: Gujarat State Code: Customer Signature24 GSTIN No : 24AAECN9979J1ZQ CIN No : Customer Feedback Form Phone(M) : 9724831335 Phone(0) : PAN No: AAECN9979J Email : navjivanautomobiles@yInstant Feedback Instant RedressalGSTIN No : UIN: Dear Sir/Ma'am Free Service Schedule ahoo.co.in Kms* Days* Customer Care No: 1st Free Service9328048000 750-1000PAN No: 165~18015~30 Email:* Kms or Days, whichever comes earlier 2nd Free Service 5500-6000 We are thankful to you for spending little time for us while filling this feedback form. Your valuable inputs will enable us for3rd Free service11500-12000350~365 Paid Service Frequency Every 6000 Kms or Within 6 months continuous improvement of our service quality. Thanking you Once Again.Place Of Supply:Please Note : Above Service conditions are applicable for domestic BSVI vehicles onlyBill To (Details of Recipient): Legal Name: Legal Name : ANUP TIWARI Dealer Name: HONDA NAVJIVAN AUTOMOBILES PVT LTD Name: ANUP TIWARI Address : Customer Name: ANUP TIWARIDHRU HOSPITAL GALI,NR.SMC OFFICE, NAVAGAN DINDOLI.Experience More Benefits, More JoyAddress: 49 VIJAY NAGAR India Date : 19/02/2021 Customer Address:India City: SURAT PIN Code : 394210 Account/Customer Id: 1-131LVQ0Y State: 49 VIJAY NAGAR , Gujarat State 24 City: SURAT PIN Code : 394210 joyclubSURAT,Gujarat, India Code: With Honda Joy Club Phone(M) : Zipcode: 394210 Phone(O): State: Gujarat State Code: 2424 GSTIN No : TEL. No. /MOBILE: 972483133524AAECN9979J1ZQ CIN No : Phone(M) : 9724831335 Phone(0) : PAN No: Frame No.: ME4JC65DLKD133243AAECN9979J Email : navjivanautomobiles@ya GSTIN No : Model Name: CB SHINE UIN: hoo.co.in Customer Care No:Jobcard No: JC-GJ05BA07-02-2021-0026879328048000 Pan No: Reg. No.: GJ05EY4462 Email: Loyalty ID : Frame No.: ME4JC65DLKD133243SL. PARTICULARS Model Name: CB SHINEEXCELLENT VERY GOOD Jobcard Closed Date/Time: 19/02/2021 06:40:05 PMGOODFAIRPOOR Engine No.: JC65ED0253643NO. ModeI Code: CB SHINE DRUM CBS Service Type: ACCIDENT Reg. No.: GJ05EY44621 Overall Job card opening process Color: BLACK [ ] [ ] Service KM : 12663[ ] [ ] [ ] Pick & Drop Availed: Sale Date: 11/12/2019 Selling Dealer: NAVJIVAN AUTOMOBILES PRIVATE LIMITE 2 Overall Service advisor performance Unit [ ] [ ] [ ] Taxable Sr Part No/ Description HSN/SAC Sublet Billing Price Qty UoM Total Discoun Discount Amount No 3Jobcode Overall Workshop facilities Code Job Type (Rs) [ ]Amount t % [ ] (Rs) [ ] (Rs) 1 53100-KTE- PIPE 87141090 Paid 321.87 1 No's 321.87 321.87 4 A01 Overall Quality of service/repairSTEERING [ ] [ 1 [ 1 [ ] HANDLE 5 Overall Service Delivery [ ] [] [ ] [ ] 2 61220-KTE- SET 87141090 Paid 266.40 1 No's 266.40 266.40 D80ZA ILLUSTWIND SCREEN *TYPE1* ANY OTHER SUGGESTIONS/ COMMENTS: 3 61210-KTE- SET 87141090 Paid 1,003.12 1 No's 1,003.12 1,003.12 D80ZG ILLUSTFR COWL Customer Signature *TYPE1* 4 61100-KTE- FENDERFRO 87141090 INSTANT REDRESSAL OF CONCERNPaid627.34 1 No's 627.34 627.34 CRM RemarkD80ZE NT *NH1* CRM Signature 5 SJ210500Customer SignatureACCIDENTAL 998729 300 Paid 0.00 1 Hrs 300.00 300.00 WE APPRECIATE YOUR VALUABLE TIME WHICH YOU HAVE INVESTED IN OUR SERVICE TRACKER. YOURREPAIRS 6 SJ203207 FORK 998729 250 Paid 0.00 1 Hrs 250.00 250.00 REPAIR Total 2768.73 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Rate Amount Amount 1 87141090 2218.73 14 310.62 14 310.62 2,839.97 2 998729 550.00 9 49.50 9 49.50 18 0.00 0.00 649.00 Invoice Amount 3488.97