Scan QR Code for "Customer Awareness Videos" Original For Recipient Second for transporter Tax Invoice Third for supplier Dealer Code: MP020005 Ref No: SERINV-MP020005- Invoice Date/Time: 04/08/2020 01:51:35 PM 2021-001485 CRN: Invoice No.: MP02000520001485 Billed To: Ship To: Dealer Name: SMS AUTOWHEELS PRIVATE LIMITED Name: BAJAJ ALLIANZ Name: SMS AUTOWHEELS PRIVATE GENERAL INSURANCE CO. LIMITED Address: 24,DILIP SINGH COLONY, MARIMATA LTD. Address: 24, DILIP SINGH COLONY, SQUARE, INDORE INDORE Customer Id : MARIMATA SQUARE, INDORE MP India 1-14QCN1LK Address: PH: 6232443444 Pincode: 452005 Email: INDORE MP India Tele: FAX No: Account: PH Email: MANGALAMHMSI@GMAIL.COM Name: BAJAJ ALLIANZ Email: MANGALAMHMSI@GMAIL.COM GSTIN : 23ABACS5461P1Z0 GSTIN Date: GENERAL INSURANCE CO. GSTIN: 23ABACS5461P1Z0 PAN: ABACS5461P LTD. PAN: ABACS5461P Account Id : 1-14QC6WO1 Address: 4TH FLOOR, COMMERCE HOUSE, 7 RACE COURSE ROAD INDORE INDORE,MP, CIN : CIN: India 452001 PH: 9479970278 GSTIN: 23AABCB5730G1Z5 PAN: CIN: State : MP Customer Care No: State Code:23 State: State Code: State: MP State Code: 23 7395888042 Vehicle Details: Job Card Detail : Place of Supply : Frame No.: Model Name: ACTIVA Jobcard No : JC-MP020005-02- Name: SMS AUTOWHEELS PRIVATE ME4JF914BLD028074 6G 2021-001462 LIMITED Engine No.: JF91ED1028158 Model Code: ACTIVA Jobcard Closed Date/Time: Address: 24, DILIP SINGH COLONY, 6G DLX-BSVI 04/08/2020 01:51:29 PM MARIMATA SQUARE, INDORE INDORE MPIndia Color: MAT AXIS Reg. No.: UR Service Type: ACCIDENT GSTIN: 23ABACS5461P1Z0 GRAY METALL Pick & Drop Availed: Sale Date: 20/06/2020 Selling Dealer: SETHIYA Service KM : 1320 State: MP State Code: 23 Loyalty ID: MOTORS PVT LTD 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 50330- STAY 87141090 Paid 167.96 1 No's 167.96 167.96 K0P-D00 COMPFR COVER 2 53100- HANDLE 87141090 Paid 463.28 1 No's 463.28 463.28 K0P-D00 COMP. STEERING 3 33100- LIGHT 85122010 Paid 1,505.07 1 No's 1,505.07 1,505.07 K0P-611 ASSYHEA D 4 64200- SET 87141090 Paid 557.03 1 No's 557.03 557.03 KOP- ILLUSFR ---PAGE END--- pe 5* 5 53250- COVER 87141090 Paid 152.34 1 No's 152.34 152.34 KOP- COMP. DOOZA HANDLE RR. 6 53205- COVER 87141090 Paid 754.68 1 No's 754.68 754.68 KOP- HANDLE DOOZC FR. 7 83600- COVER 87141090 Paid 1,265.62 1 No's 1,265.62 1,265.62 KOP- COMP. L. POOZZ BODY 8 93891- SCREWW 73181900 Paid 1.68 1 No's 1.68 1.68 050-1607 ASHER5X1 6 9 64307- GARNISH 87141090 Paid 16.40 1 No's 16.40 16.40 KOP- RFR DOOZA BASE*NH1 * 10 88220- MIRROR 70091090 Paid 133.05 1 No's 133.05 133.05 K0P-D00 COMP L 11 33410- LENS 85122010 Paid 135.59 1 No's 135.59 135.59 K0P-601 COMPR 12 33460- LENS 85122010 Paid 135.59 1 No's 135.59 135.59 K0P-601 COMPL 13 37200- SPEEDOM 90292020 Paid 978.81 1 No's 978.81 978.81 K0P-601 ETER ASSY 14 JB00056 LABOUR 998729 800 Paid 0.00 1 Hrs 800.00 800.00 CHARGE 15 SJ288888 Hygiene and 998729 30 Paid 0.00 1 Hrs 30.00 30.00 Sanitization Charges at Rs 30 plus taxes 16 SJ110029 FORK 998729 350 Paid 0.00 1 Hrs 350.00 350.00 REPAIR 17 SJ110015 CHASSIS 998729 1000 Paid 0.00 1 Hrs 1,000.00 1000.00 REPAIR 18 SJ206200 PANEL 998729 450 Paid 0.00 1 Hrs 450.00 450.00 COMP., FLOOR (DENTING /PAINTING ) 19 SJ207100 COVER 998729 600 Paid 0.00 1 Hrs 600.00 600.00 COMP., L. SIDE (DENTING /PAINTING ---PAGE END--- 20 SJ202500 FENDER, 998729 600 Paid 0.00 1 Hrs 600.00 600.00 FR. (DENTING /PAINTING ) 21 SJ208800 COVER 998729 700 Paid 0.00 1 Hrs 700.00 700.00 COMP., L. BODY (DENTING /PAINTING ) 22 SJ208700 COVER 998729 700 Paid 0.00 1 Hrs 700.00 700.00 COMP., R. BODY (DENTING /PAINTING ) 11497.1 Total 0 Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount No Code Amount Rate Amount Rate Amount Rate Rate Amount Amount 1 87141090 3377.31 14 472.82 14 472.82 4,322.96 2 85122010 1776.25 9 159.86 9 159.86 2,095.97 3 73181900 1.68 9 0.15 9 0.15 1.98 4 70091090 133.05 9 11.97 9 11.97 157.00 5 90292020 978.81 9 88.09 9 88.09 1,155.00 6 998729 5,230.00 9 470.70 9 470.70 0.00 6,171.40 Invoice Amount 13904.31 Total Invoice Value (in figures) :13904 Total Labour/Service Amount 6171.40 Total Invoice Value ( in words): Rupees Thirteen Thousand Nine Hundred Four Only Total Parts Amount 7732.91 Payment Mode: Cash Total Tax Amount 2,407.21 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 13904.31 For SMS AUTOWHEELS PRIVATE Terms and Conditions: LIMITED 1. All disputes are subject to INDORE 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: NEETU SINGH Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy joyclub With Honda Joy Club ---PAGE END--- SMS AUTOWHEELS PRIVATE LIMITED GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP020005-2021-001485 CO.LTD. Invoice No.: MP02000520001485 dated 04/08/2020 Registration No.: UR Invoice Amount: 13904 Customer's Signature Frame No.: ME4JF914BLD028074 Jobcard/Order Ref.: JC-MP020005-02- 2021-001462 dated 04/08/2020 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 : 04/08/2020 Customer Address: Frame No.: ME4JF914BLD028074 Model Name: ACTIVA 6G Jobcard No: JC-MP020005-02-2021-001462 Reg. No.: UR 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 [] 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---