Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP10BA01-02-2021-003279 Invoice Number :- MP10BA0120003252 Invoice Date :- 12/03/2021 12:07:07 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : MHOW NEEMUCH ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROAD, India City: JAORA PIN Code : 457226 Account/Customer Id: 1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: 23 GSTIN No : 23AAKFA1505C1ZA CIN No : Phone(M) : 916583679791658367 Phone(0) : 97 PAN No: AAKFA1505C Email : anklesariahonda@rediff GSTIN No : 23AABCB5730G1Z5 UIN: mail.com Customer Care No: 7389929794 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD. BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : MHOW NEEMUCH ROAD India Address: 4TH FLOOR,COMMERECE HOUSE 7, RACE COURSE ROADIndia City: JAORA PIN Code : 457226 Account/Customer Id:1-14N4YYZL 1-14N4YYZU State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: GSTIN No : 23AAKFA1505C1ZA CIN No : Phone(M) : 916583679791658367 Phone(0) : 97 PAN No: AAKFA1505C Email : anklesariahonda@rediffm GSTIN No : 23AABCB5730G1Z5 UIN: ail.com Customer Care No: 7389929794 Pan No: Email: Loyalty ID : Frame No.: ME4JF914JLW156138 Model Name: ACTIVA 6G Jobcard Closed Date/Time: 12/03/2021 12:02:30 PM Engine No.: JF91EW1156085 ModeI Code: ACTIVA 6G DLX-BSVI Service Type: ACCIDENT Reg. No.: MP43EG8992 Color: PEARL PRECIOUS WHITE Service KM : 1669 Pick & Drop Availed: Sale Date: 30/09/2020 Selling Dealer: ANKLESARIA AUTOMOBILES Billing Unit Discoun Discount Taxable Sr Part No/ Description HSN/SAC Sublet UoM Total No Jobcode Code Job Type Price Qty Amount t % (Rs) Amount (Rs) (Rs) 1 61100-K0P- FENDER 87141090 Paid 676.56 1 No's 676.56 676.56 DOOZZ AFR*NH1* 2 53250-K0P- COVER 87141090 Paid 153.90 1 No's 153.90 153.90 DOOZA COMP. HANDLE RR. 3 53205-K0P- COVERHAND 87141090 Paid 754.68 1 No's 754.68 754.68 D00ZP LE FR*NHC41P* 4 64200-K0P- SET ILLUSFR 87141090 Paid 557.03 1 No's 557.03 557.03 DOOZM COVER*Type 2 1* 5 33460-K0P- LENS COMPL 85122010 Paid 137.27 1 No's 137.27 137.27 601 6 33410-K0P- LENS 85122010 Paid 137.27 1 No's 137.27 137.27 601 COMPR 7 81131-K0P- COVER 87141090 Paid 438.27 1 No's 438.27 438.27 DOOZA INNER 8 53209- CLIPHEAD 87141090 Paid 7.03 1 No's 7.03 7.03 ---PAGE END--- 9 35180- SW UNIT 85369030 Paid 50.00 No's 50.00 50.00 KWP-901 HORN 10 35170-KPL- sw 85365090 Paid 47.45 1 No's 47.45 47.45 842 UNITDIMMER 11 SJ203232 PAINTING 998729 3350 Paid 0.00 1 Hrs 3,350.00 3350.00 12 SJ203204 OPENING & 998729 800 Paid 0.00 1 Hrs 800.00 800.00 FITTING Total 7109.46 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 2587.47 14 362.25 14 362.25 3,311.96 2 85122010 274.54 9 24.71 9 24.71 323.96 3 85369030 50.00 9 4.50 9 4.50 59.00 4 85365090 47.45 9 4.27 9 4.27 55.99 5 998729 4,150.00 9 373.50 9 373.50 18 0.00 0.00 4,897.00 Invoice Amount 8647.91 Total Invoice Value (in figures) : 8648 Total Labour/Service Amount 4897.00 Total Invoice Value ( in words): Rupees Eight Thousand Six Hundred Fourty Eight Only Total Parts Amount 3750.91 Payment Mode: Credit Total Tax Amount 1,538.45 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 8647.91 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: PRAFULL SINGH 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 * Kms or Days, whichever comes earlier 2nd Free Service 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--- ANKLESARIA AUTOMOBILES GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP10BA01-2021-003252 CO. LTD. Invoice No.: MP10BA0120003252 dated 12/03/2021 Registration No.: MP43EG8992 Invoice Amount: 8648 Customer's Signature Frame No.: ME4JF914JLW156138 Jobcard/Order Ref.: JC-MP10BA01-02- 2021-003279 dated 12/03/2021 Model Name: ACTIVA 6G 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 : 12/03/2021 Customer Address: Frame No.: ME4JF914JLW156138 Model Name: ACTIVA 6G Jobcard No: JC-MP10BA01-02-2021-003279 Reg. No.: MP43EG8992 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---