Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP02BA03-02-2021-009615 Invoice Number :- MP02BA0320009422 Invoice Date :- 23/12/2020 07:19:48 PM Document Type :- Invoice Supply Type : Supplier Details (Ship From) : Ship To (Place of Delivery): Legal Name: Legal Name : BAJAJLLIANZ GENERAL INSURANCE CO LTD BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: SHYAM SANGAM AGENCIES Name: BAJAJLLIANZ GENERAL INSURANCE CO LTD BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : NEAR RAMCHANDRA NAGAR,OPPOSITE POLICE PETROL Address: 4TH FLOOR,COMMERCE HOUSE,OPP GANGAUR SWEETS, PUMP,AIRPORT ROAD,INDORE India JANJIR , City: INDORE PIN Code : 452005 Account/Customer Id: 1-12H0EZIN 1-DE8AIGP State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: 23 GSTIN No : 23ABHFS5071K1ZZ CIN No : Phone(M) : 987951187874404012 Phone(0) : 18 PAN No: ABHFS5071K Email : HONDASHYAM@YAH GSTIN No : 23AABCB5730G1Z5 UIN: O0.CO.IN Customer Care No: 18001007022/9981990974 PAN No: Email: Place Of Supply: Bill To (Details of Recipient): Legal Name: Legal Name : BAJAJLLIANZ GENERAL INSURANCE CO LTD BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Dealer Name: SHYAM SANGAM AGENCIES Name: BAJAJLLIANZ GENERAL INSURANCE CO LTD BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD Address : NEAR RAMCHANDRA NAGAR,OPPOSITE POLICE PETROL Address: 4TH FLOOR,COMMERCE HOUSE,OPP GANGAUR SWEETS, PUMP,AIRPORT ROAD,INDORE India JANJIR City: INDORE PIN Code : 452005 Account/Customer Id: 1-12H0EZIN 1-DE8AIGP State: MP State 23 City: INDORE PIN Code : 452001 Code: Phone(M) : Phone(O): State: MP State Code: GSTIN NO : 23ABHFS5071K1ZZ CIN No : Phone(M) : 987951187874404012 Phone(0) : 18 PAN No: ABHFS5071K Email : HONDASHYAM@YAH GSTIN No : 23AABCB5730G1Z5 UIN: O0.CO.IN Customer Care No: 18001007022/9981990974 Pan No: Email: Loyalty ID : Frame No.: ME4JF50BMKD061667 Model Name: ACTIVA 5G Jobcard Closed Date/Time: 23/12/2020 07:19:26 PM Engine No.: JF50ED1061722 ModeI Code: ACTIVA 5G DX Service Type: ACCIDENT Reg. No.: MP09UU5362 Color: MAJESTIC BROWN METAL Service KM : 3746 Pick & Drop Availed: Sale Date: 15/01/2020 Selling Dealer: SHYAM SANGAM AGENCIES Billing Unit Discoun Discount Taxable Sr Part No/ Description HSN/SAC Sublet Total No Jobcode Code Job Type Price 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 53100- HANDLE 87141090 Paid 466.41 1 No's 466.41 466.41 KWP-H00 COMPSTRG 3 05321- KITRACE 87141090 Paid 318.74 1 No's 318.74 318.74 KEM-P00 STEERING 4 44301-KPL- AXLEFR 87141090 Paid 87.50 1 No's 87.50 87.50 900 WHEEL 5 50330- TRAY 87141090 Paid 285.93 1 No's 285.93 285.93 KWP-H00 COMPBATTE RY 6 64304- COVER 87141090 Paid 739.06 1 No's 739.06 739.06 KWP- COMPR FR F00ZZ 7 64305- COVER 87141090 Paid 739.06 1 No's 739.06 739.06 KWP- COMPL FR F00ZZ 8 81131- COVERINNE 87141090 Paid 442.18 1 No's 442.18 442.18 ---PAGE END--- HOOZA 9 64200- SET 87141090 Paid 560.93 1 No's 560.93 560.93 KWP- ILLUSTFR H0OZC COVER *TYPE6* 10 53205- COVERHAND 87141090 Paid 759.36 1 No's 759.36 759.36 KWP- LE HOOZB FR*YR329M* 11 81132- HOOKLUGGA 87141090 Paid 3.90 1 No's 3.90 3.90 KWP- GE*NH1* HOOZA 12 53175- LEVER R 87141090 Paid 72.65 1 No's 72.65 72.65 KWP-D00 STRG HANDLE 13 53178- LEVERL 87141090 Paid 85.16 1 No's 85.16 85.16 KWP-D00 STRG HANDLE 14 MP020003- FAVIQ 65070000 Paid 4.00 1 No's 4.00 4.00 FAVIQ-1 15 53209- CLIPHEAD 87141090 Paid 7.03 2 No's 14.06 14.06 GAH-000 LIGHT 16 90302-KPL- NUTPUSH 3 73182910 Paid 4.23 5 No's 21.15 21.15 660 MM 17 86834- MARK5G 39199010 Paid 1.68 1 No's 1.68 1.68 KWP- *TYPE1* HOOZA 18 18318- PROTECTOR 87141090 Paid 213.28 1 No's 213.28 213.28 KWP-H40 MUFFLER 19 50100- FRAME 87141090 Paid 5,358.59 1 No's 5,358.59 5,358.59 KWP-H00 BODY COMP 20 33100- LIGHT 85122010 Paid 1,394.06 1 No's 1,394.06 1,394.06 KWP-H01 ASSYHEAD 21 44650- WHEEL SUB 87141090 Paid 1,775.78 1 No's 1,775.78 1,775.78 KWP-E00 ASSYFR 22 SJ203230 OUT SIDE 998729 50 Paid 0.00 1 Hrs 50.00 50.00 REPAIR WORK 23 SJ210500 ACCIDENTAL 998729 1000 Paid 0.00 1 Hrs 1,000.00 1000.00 REPAIRS 24 SJ205600 PANEL 998729 400 Paid 0.00 1 Hrs 400.00 400.00 COMP., FLOOR (DENTING /PAINTING) 25 SJ208700 COVER 998729 600 Paid 0.00 1 Hrs 600.00 600.00 COMP., R. BODY (DENTING /PAINTING) ---PAGE END--- COMP., R. FR. (DENTING /PAINTING) 27 SJ205400 COVER 998729 550 Paid 0.00 Hrs 550.00 550.00 COMP., L. FR.(DENTING /PAINTING) 28 SJ202000 FENDER, FR. 998729 550 Paid 0.00 Hrs 550.00 550.00 (DENTING /PAINTING) Total 19140.34 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 14019.45 14 1,962.72 14 1,962.72 17,944.90 2 65070000 4.00 9 0.36 9 0.36 4.72 3 73182910 21.15 9 1.90 9 1.90 24.96 4 39199010 1.68 9 0.15 9 0.15 1.98 5 85122010 1394.06 9 125.47 9 125.47 1,644.99 6 998729 3,700.00 9 333.00 9 333.00 18 0.00 0.00 4,366.00 Invoice Amount 23987.55 Total Invoice Value (in figures) : 23988 Total Labour/Service Amount 4366.00 Total Invoice Value ( in words): Rupees Twenty Three Thousand Nine Hundred Eighty Eight Only Total Parts Amount 19621.55 Payment Mode: Cash Total Tax Amount 4,847.21 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 23987.55 Terms and Conditions: For SHYAM SANGAM AGENCIES 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: NIKITA 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 affiliates 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--- SHYAM SANGAM AGENCIES GATEPASS Customer Name: BAJAJLLIANZ GENERAL INSURANCE CO Ref No: SERINV-MP02BA03-2021-009422 LTD Invoice No.: MP02BA0320009422 dated 23/12/2020 Registration No.: MP09UU5362 Invoice Amount: 23988 Customer's Signature Frame No.: ME4JF50BMKD061667 Jobcard/Order Ref.: JC-MP02BA03-02- 2021-009615 dated 23/12/2020 Model Name: ACTIVA 5G 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: BAJAJLLIANZ GENERAL INSURANCE CO LTD Date : 23/12/2020 Customer Address: Frame No.: ME4JF50BMKD061667 Model Name: ACTIVA 5G Jobcard No: JC-MP02BA03-02-2021-009615 Reg. No.: MP09UU5362 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---