Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP02BA02-02-2021-001326 Invoice Number :- MP02BA0220001383 Invoice Date :- 25/11/2020 11:11:37 AM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL TNSURANCE CO.LTD... BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD, Dealer Name: RAJPAL AGENCIES PVT LTD Name: BAJAJ ALLIANZ GENERAL TNSURANCE CO.LTD... BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD, Address : KHANDWA ROAD,RANI BAGH MAIN INDORE India Address: 4TH FLOOR COMMERCE HOUSE, 7 RACE COURSE ROAD , India City: INDORE PIN Code : 452001 Account/Customer Id: 1-15YURHVL 1-NGMTJ2P State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 9589095169 Phone(O): State: MP State Code: 23 GSTIN No : 23AACCR4293B1ZQ CIN No : Phone(M) : 982601234574404012 Phone(0) : 18 PAN No: AACCR4293B Email : jatin_honda@hotmail. GSTIN No : 23AABCB5730G1Z5 UIN: com Customer Care No: 07312877102 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL TNSURANCE CO.LTD... BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD, Dealer Name: RAJPAL AGENCIES PVT LTD Name: BAJAJ ALLIANZ GENERAL TNSURANCE CO.LTD... BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD, Address : KHANDWA ROAD,RANI BAGH MAIN INDORE India Address: 4TH FLOOR COMMERCE HOUSE, 7 RACE COURSE ROAD India City: INDORE PIN Code : 452001 Account/Customer Id: 1-15YURHVL 1-NGMTJ2P State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : 9589095169 Phone(O): State: MP State Code: GSTIN No : 23AACCR4293B1ZQ CIN No : Phone(M) : 982601234574404012 Phone(0) : 18 PAN No: AACCR4293B Email : jatin_honda@hotmail. GSTIN No : 23AABCB5730G1Z5 UIN: com Customer Care No: 07312877102 Pan No: Email: Loyalty ID : Frame No.: ME4JF507JHT572825 Model Name: ACTIVA 4G Jobcard Closed Date/Time: 25/11/2020 11:11:20 AM Engine No.: JF50ET5573186 ModeI Code: ACTIVA 4G SELF Service Type: ACCIDENT Reg. No.: UH5843 CoIor: MAJESTIC BROWN METAL Service KM : 10065 Pick & Drop Availed: Sale Date: 25/09/2017 Selling Dealer: RAJPAL AGENCIES PVT LTD 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 51110- FORK SUB 87141090 Paid 2,096.86 1 No's 2,096.86 2,096.86 KWP-H00 ASSYFR 2 64200- SET 87141090 Paid 481.25 1 No's 481.25 481.25 KWP- ILLUSTFR G30ZB COVER*TYP E6* 3 87615- EMBLEM 87141090 Paid 109.37 1 No's 109.37 109.37 KWP-F00 LBODY COVER 4 86834- MARK4G*TY 39199010 Paid 1.68 1 No's 1.68 1.68 KWP- PE1* G30ZA 5 77240- CABLESEAT 87141090 Paid 33.59 1 No's 33.59 33.59 KWP-900 LOCK 6 53173-KPL- BANDHANDL 87141090 Paid 4.68 1 No's 4.68 4.68 900 E BRKT 7 53205- COVERHAND 87141090 Paid 697.64 1 No's 697.64 697.64 KWP- LE F00ZA FR*YR329M* ---PAGE END--- GAH-000 LIGHT 9 50330- TRAY 87141090 Paid 285.93 1 No's 285.93 285.93 KWP-H00 COMPBATTE RY 10 33460- LENSE 85122010 Paid 138.98 1 No's 138.98 138.98 KWP-F01 COMPL 11 33410- LENSECOMP 85122010 Paid 138.98 1 No's 138.98 138.98 KWP-F01 R 12 81131- COVER 87141090 Paid 460.93 1 No's 460.93 460.93 KWP- INNER*NH1* 90OZA 13 93903- SCREWTAP. 73181900 Paid 2.54 20 No's 50.80 50.80 24380 4X12 14 44650- WHEEL SUB 87141090 Paid 2,056.25 1 No's 2,056.25 2,056.25 KWP-G30 ASSYFR 15 96211- BALL STEEL 84829119 Paid 0.84 30 No's 25.20 25.20 05000 #5 16 96211- BALLSTEEL 84829119 Paid 2.54 25 No's 63.50 63.50 0800 #8 17 61100- FENDERFR 87141090 Paid 1,361.72 1 No's 1,361.72 1,361.72 KWP- F0OZZ 18 64304- COVER 87141090 Paid 739.06 1 No's 739.06 739.06 KWP- COMPR FR F0OZZ 19 90666-SDA- CLIPSNAP 87141090 Paid 4.68 5 No's 23.40 23.40 A01 FIT(PO) 20 51104- COVER L 87141090 Paid 28.12 1 No's 28.12 28.12 KWP-940 PIVOT 21 SJ203204 OPENING & 998729 50 Paid 0.00 1 Hrs 50.00 50.00 FITTING 22 SJ203226 FRAME/CHA 998729 1000 Paid 0.00 1 Hrs 1,0000 1000.00 SSI REPAIR 23 FH300100 FRONT 998729 550 Paid 0.00 1 Hrs 550.00 550.00 FENDER 24 SJ110041 LH RR BODY 998729 650 Paid 0.00 1 Hrs 650.00 650.00 PANEL PAINTING 25 SJ203236 RH FRONT 998729 550 Paid 0.00 1 Hrs 550.00 550.00 BODY PANEL PAINTING 26 SJ110040 LH FRONT 998729 550 Paid 0.00 1 Hrs 550.00 550.00 BODY PANEL PAINTING 27 SJ288888 HYGIENE 998729 12.75 Paid 0.00 1 Hrs 12.75 12.75 AND ---PAGE END--- N CHARGES AT RS 30 PLUS TAXES Total 12174.75 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 8392.86 14 1,175.00 14 1,175.00 10,742.86 2 39199010 1.68 9 0.15 9 0.15 1.98 3 85122010 277.96 9 25.02 9 25.02 327.99 4 73181900 50.80 9 4.57 9 4.57 59.94 5 84829119 88.70 9 7.98 9 7.98 104.67 6 998729 3,362.75 9 302.65 9 302.65 18 0.00 0.00 3,968.05 Invoice Amount 15205.49 Total Invoice Value (in figures) : 15205 Total Labour/Service Amount 3968.04 Total Invoice Value ( in words): Rupees Fifteen Thousand Two Hundred Five Only Total Parts Amount 11237.45 Payment Mode: Cash Total Tax Amount 3,030.74 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 15205.49 Terms and Conditions: For RAJPAL AGENCIES PVT LTD 1. All disputes are subject to 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: CLARANCE 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 2nd Free Service * Kms or Days, whichever comes earlier 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--- RAJPAL AGENCIES PVT LTD GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL TNSURANCE Ref No: SERINV-MP02BA02-2021-001383 CO.LTD... Invoice No.: MP02BA0220001383 dated 25/11/2020 Registration No.: UH5843 Invoice Amount: 15205 Customer's Signature Frame No.: ME4JF507JHT572825 Jobcard/Order Ref.: JC-MP02BA02-02- 2021-001326 dated 25/11/2020 Model Name: ACTIVA 4G 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 TNSURANCE CO.LTD... Date : 25/11/2020 Customer Address: Frame No.: ME4JF507JHT572825 Model Name: ACTIVA 4G Jobcard No: JC-MP02BA02-02-2021-001326 Reg. No.: UH5843 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---