Scan QR Code for "Customer Awareness Videos" Original For Recipient Second for transporter Tax Invoice Third for supplier Dealer Code: GJ090002 Ref No: SERINV-GJ090002-2021- Invoice Date/Time: 24/07/2020 12:15:46 PM 003692 CRN: Invoice No.: GJ09000220003692 Billed To: Ship To: Dealer Name: RAJ MOTORS-GJ090002 Name: BAJAJ ALLIANZ Name: RAJ MOTORS-GJ090002 Address: NR. SHIVAM PARTY PLOT, OPP. SAVSHANTI GENERAL INSURANCE CO. Address: NR. SHIVAM PARTY PLOT, RESORT, ANAND-CHIKHODARA ROAD, ANAND, LTD M.G.PARMAR OPP. SAVSHANTI RESORT, ANAND- GUJARAT ANAND Customer Id : CHIKHODARA ROAD, ANAND, Gujarat India GUJARAT 1-14J9MDJV Address: Pincode: 388320 PH: 9662602924 ANAND Gujarat India Tele: FAX No: Email: PH Email: rajmotorsanand@ gmail.com Account: Email: rajmotorsanand@ gmail.com GSTIN : 24AANFR7427D1Z5 GSTIN Date: Name: BAJAJ ALLIANZ GSTIN: 24AANFR7427D1Z5 PAN: AANFR7427D GENERAL INSURANCE CO. PAN: AANFR7427D LTD Account Id : Address: 402-408, 4TH FLOOR, TURQUOISE BLDG, NEAR PANCHVATI CIRCLE, CG ROAD, AHMEDABAD CIN : AHMEDAB AD,Gujarat, CIN: 380006 PH: 7600023013 GSTIN: 24AABCB5730G1Z3 PAN: CIN: State : Gujarat Customer Care No: State Code:24 State: State Code: State: Gujarat State Code: 24 9106604066 Vehicle Details: Job Card Detail : Place of Supply : Frame No.: Jobcard No : JC-GJ090002-02- Model Name: AVIATOR Name: RAJ MOTORS-GJ090002 ME4JF21FHJ8004171 2021-003560 Engine No.: JF21E83021044 Model Code: AVIATOR Jobcard Closed Date/Time: Address: NR. SHIVAM PARTY PLOT, DISC 24/07/2020 12:15:35 PM OPP. SAVSHANTI RESORT, ANAND- CHIKHODARA ROAD, ANAND, GUJARAT ANAND GujaratIndia Color: MAT SLENE Reg. No.: GJ23DB7879 Service Type: ACCIDENT GSTIN: 24AANFR7427D1Z5 SILVER MET Pick & Drop Availed: Sale Date: 29/01/2019 Selling Dealer: RAJ MOTORS- Service KM : 14940 State: Gujarat State Code: 24 Loyalty ID: GJ090002 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 61100- FENDER A 87141090 Paid 1,323.43 1 No's 1,323.43 1,323.43 KVT- FR D00ZZ 2 64304- COVER 87141090 Paid 817.96 1 No's 817.96 817.96 KVT- COMP R D00ZZ FR 3 64305- COVER 87141090 Paid 817.96 1 No's 817.96 817.96 KVT- COMPL FR D00ZZ 4 64330- COVER 87141090 Paid 775.77 1 No's 775.77 775.77 ---PAGE END--- DOOZZ SIDE 5 64200- SET 87141090 Paid 512.50 1 No's 512.50 512.50 KVT- ILLUSTFR G0OZA COVER UP*TYPE4 * 6 18318- PROTECT 87141090 Paid 125.00 1 No's 125.00 125.00 KZK-E00 ORMUFFL ER 7 64302- COVERFR 87141090 Paid 507.81 1 No's 507.81 507.81 KVT-960 LOWER : 33410- LENS 85122010 Paid 177.96 1 No's 177.96 177.96 KVT-901 COMPR 9 33460- LENS 85122010 Paid 177.96 1 No's 177.96 177.96 KVT-901 COMP L 10 53178- LEVERL 87141090 Paid 83.59 1 No's 83.59 83.59 KWP-D00 STRG HANDLE 11 61300- STAY 87149990 Paid 93.74 1 No's 93.74 93.74 KVT-D20 COMP FR FENDER 12 50330- TRAY 87141090 Paid 281.25 1 No's 281.25 281.25 KVT-J10 COMPBAT TERY 13 81131- COVERIN 87141090 Paid 826.56 1 No's 826.56 826.56 KVT- NER J0OZC *NHB60M* 14 64310- STEPFLOO 87141090 Paid 400.78 1 No's 400.78 400.78 KVT- R*Y-324R* F0OZA 15 83200- SET 87141090 Paid 1,247.65 1 No's 1,247.65 1,247.65 KVT- ILLUSTL JOOZC BODY COVER *NHB60M 16 50623- COVER 87141090 Paid 67.19 1 No's 67.19 67.19 KVT- UNDER FR 900ZA 17 53219- STEM SUB 87141090 Paid 1,615.62 1 No's 1,615.62 1,615.62 KVT-G00 ASSYSTR G 18 96211- BALLSTEE 84829119 Paid 1.68 19 No's 31.92 31.92 08000 L #8 19 51410- PIPE 87141090 Paid 385.15 1 No's 385.15 385.15 K24-911 COMP. FR. FORK 20 44301- AXLE FR 87141090 Paid 79.68 1 No's 79.68 79.68 ---PAGE END--- 21 34904- BULBWIN 85392120 Paid 44.91 1 No's 44.91 44.91 KTE-910 KER LIGHT (AMBER) 22 33740- REFLECTO 85122010 Paid 26.27 1 No's 26.27 26.27 KTE-601 RFR. SIDEREFL EX 23 61106- MARKCO 39199010 Paid 4.23 1 No's 4.23 4.23 KWP- MBI 910ZB BRAKE*T YPE 2* 24 87505- LABELTIR 39199010 Paid 11.86 1 No's 11.86 11.86 KWP-910 E 25 SJ205600 PANEL 998729 330 Paid 0.00 1 Hrs 330.00 330.00 COMP., FLOOR (DENTING/ PAINTING) 26 SJ203236 RH FRONT 998729 700 Paid 0.00 1 Hrs 700.00 700.00 BODY PANEL PAINTING 27 SJ203235 LH FRONT 998729 700 Paid 0.00 1 Hrs 700.00 700.00 BODY PANEL PAINTING 28 SJ202600 FENDER 998729 700 Paid 0.00 1 Hrs 700.00 700.00 A, FR. PAINTING 29 SJ203204 OPENING 998729 650 Paid 0.00 1 Hrs 650.00 650.00 & FITTING Total 13516.7 5 Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount No Code Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 9867.90 14 1,381.51 14 1,381.51 12,630.91 2 85122010 382.19 9 34.40 9 34.40 450.98 3 8714990 93.74 14 13.12 14 13.12 119.99 4 84829119 31.92 9 2.87 9 2.87 37.67 5 85392120 44.91 9 4.04 9 4.04 5.99 6 39199010 16.09 9 1.45 9 1.45 18.99 7 998729 3,080.00 9 277.20 9 277.20 0.00 3,634.40 Invoice Amount 16945.93 Total Invoice Value (in figures) :16946 Total Labour/Service Amount 3634.40 Total Invoice Value ( in words): Rupees Sixteen Thousand Nine Hundred Fourty Six Only Total Parts Amount 13311.53 Payment Mode: Cash Total Tax Amount 3,429.18 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 16945.93 ---PAGE END--- 1. All disputes are subject to Anand 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: PRITESH Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy With Honda Joy Club joyclub ---PAGE END--- RAJ MOTORS-GJ090002 GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-GJ090002-2021-003692 CO. LTD M.G.PARMAR Invoice No.: GJ09000220003692 dated 24/07/2020 Registration No.: GJ23DB7879 Invoice Amount: 16946 Customer's Signature Frame No.: ME4JF21FHJ8004171 Jobcard/Order Ref.: JC-GJ090002-02- 2021-003560 dated 24/07/2020 Model Name: AVIATOR 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 M.G.PARMAR Date : 24/07/2020 Customer Address: Frame No.: ME4JF21FHJ8004171 Model Name: AVIATOR Jobcard No: JC-GJ090002-02-2021-003560 Reg. No.: GJ23DB7879 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---