Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP10BA01-02-2021-003008 Invoice Number :- MP10BA0120002931 Invoice Date :- 12/02/2021 04:38:16 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.: ME4JC65CLKG060377 Model Name: CB SHINE Jobcard Closed Date/Time: 12/02/2021 04:37:46 PM Engine No.: JC65EG0227358 ModeI Code: CB SHINE DISK CBS Service Type: ACCIDENT Reg. No.: MP43EF5566 Color: GREY Service KM : 14196 Pick & Drop Availed: Sale Date: 31/01/2020 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 53100-KTE- PIPE 87141090 Paid 321.87 1 No's 321.87 321.87 A01 STEERING HANDLE 2 05030-KSP- KITRACE 87141090 Paid 335.93 1 No's 335.93 335.93 860 STEERING 3 53219-K0N- STEM SUB 87141090 Paid 1,099.02 1 No's 1,099.02 1,099.02 D10 ASSYSTRG 4 61310-KTE- COVER 87141090 Paid 161.71 1 No's 161.71 161.71 DO0 COMPH/L RR 5 61410-KTE- COWL ASSY. 87141090 Paid 1,003.12 1 No's 1,003.12 1,003.12 651ZQ FR.*TYPE2* 6 61220-KTE- SET 87141090 Paid 266.40 1 No's 266.40 266.40 D80ZA ILLUSTWIND SCREEN *TYPE1* 7 67111-KTE- GARNISHSC 87141090 Paid 236.70 1 No's 236.70 236.70 D80 REEN ---PAGE END--- 971 LIGHT (HS1) 9 50660-KTE- RUBBERSTE 39269099 Paid 44.05 2 No's 88.10 88.10 DOO P 10 50610-KTE- BAR 87141090 Paid 204.68 1 No's 204.68 204.68 DOO COMPSTEP 11 37100-KTE- SPEEDOMET 90292020 Paid 827.97 1 No's 827.97 827.97 D02 ER ASSY 12 44830-K14- CABLE 87141090 Paid 74.99 1 No's 74.99 74.99 900 COMPSPDMT 13 33650-KTE- WINKER 85122010 Paid 173.72 1 No's 173.72 173.72 601 ASSYL RR 14 61315-GGJ- STAY 87141090 Paid 3.90 2 No's 7.80 7.80 700 WINKER 15 90320-GC3- NUTSPRING5 73181900 Paid 5.08 6 No's 30.48 30.48 000 MM 16 90101-GE0- SCREWHING 73181900 Paid 5.08 6 No's 30.48 30.48 000 EPATCH 17 SJ203204 OPENING & 998729 700 Paid 0.00 1 Hrs 700.00 700.00 FITTING Total 5683.30 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 3712.22 14 519.71 14 519.71 4,751.64 2 85392120 120.33 9 10.83 9 10.83 141.99 3 39269099 88.10 9 7.93 9 7.93 103.96 4 90292020 827.97 9 74.52 9 74.52 977.00 5 85122010 173.72 9 15.63 9 15.63 204.99 6 73181900 60.96 9 5.49 9 5.49 71.93 7 998729 700.00 9 63.00 9 63.00 18 0.00 0.00 826.00 Invoice Amount 7077.52 Total Invoice Value (in figures) : 7078 Total Labour/Service Amount 826.00 Total Invoice Value ( in words): Rupees Seven Thousand Seventy Eight Only Total Parts Amount 6251.52 Payment Mode: Credit Total Tax Amount 1,394.22 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 7077.52 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 affiates 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 confidentality. Further, ll or any of the information's provided herein or otherwise can be withdrawn/corrected by giving notice. ---PAGE END--- 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-MP10BA01-2021-002931 CO. LTD. Invoice No.: MP10BA0120002931 dated 12/02/2021 Registration No.: MP43EF5566 Invoice Amount: 7078 Customer's Signature Frame No.: ME4JC65CLKG060377 Jobcard/Order Ref.: JC-MP10BA01-02- 2021-003008 dated 12/02/2021 Model Name: CB SHINE 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 : 12/02/2021 Customer Address: Frame No.: ME4JC65CLKG060377 Model Name: CB SHINE Jobcard No: JC-MP10BA01-02-2021-003008 Reg. No.: MP43EF5566 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---