Scan QR Code for "Customer Awareness Videos" Tax Invoice Order Number :- JC-MP10BA01-02-2021-002426 Invoice Number :- MP10BA0120002419 Invoice Date :- 30/12/2020 02:36:43 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.: ME4JC58FEKG012772 Model Name: DREAM YUGA Jobcard Closed Date/Time: 30/12/2020 02:36:31 PM Engine No.: JC58EG0012842 ModeI Code: DREAM YUGA SELF DRUM CBS Service Type: ACCIDENT Reg. No.: MP43EF7257 Color: BLACK K Service KM : 12497 Pick & Drop Availed: Sale Date: 21/02/2020 Selling Dealer: ANKLESARIA AUTOMOBILES 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 05030-KSP- KITRACE 87141090 Paid 335.93 1 No's 335.93 335.93 860 STEERING 2 53100-K14- PIPESTRG 87141090 Paid 284.37 1 No's 284.37 284.37 900ZB HANDLE*NH1 05* 3 53219-KTE- STEM SUB 87141090 Paid 1,107.03 1 No's 1,107.03 1,107.03 DB0 ASSYSTRG 4 83520-K14- SET ILLUSTR 87141090 Paid 731.24 1 No's 731.24 731.24 COOZC SIDE COVER*TYP E4* 5 77250-K14- SET ILLUSTL 87141090 Paid 617.95 1 No's 617.95 617.95 COOZC SIDE COWL*TYPE 4* 6 50610-K14- BAR 87141090 Paid 203.12 1 No's 203.12 203.12 900 COMPSTEP 7 90666-SDA- CLIPSNAP 87141090 Paid 4.68 1 No's 4.68 4.68 A01 FIT(PO) ---PAGE END--- C00ZF ILLUSTFR VISOR*TYPE 1* 9 61100-K14- FENDER 87141090 Paid 710.15 1 No's 710.15 710.15 960ZB FRONT*NH- 1* 10 33110-K14- HEADLIGHT 85122010 Paid 405.08 1 No's 405.08 405.08 931 UNIT(LUMAX) 11 53209- CLIPHEAD 87141090 Paid 7.03 2 No's 14.06 14.06 GAH-000 LIGHT 12 45451-KTE- GUIDEFR 87141090 Paid 10.15 1 No's 10.15 10.15 DOO FENDER CABLE 13 50661-K14- RUBBERMAI 39269099 Paid 51.69 2 No's 103.38 103.38 960 N STEP 14 35150-K14- sw 85365090 Paid 100.00 1 No's 100.00 100.00 921 ASSYSTART 15 SJ203204 OPENING & 998729 700 Paid 0.00 1 Hrs 700.00 700.00 FITTING Total 6127.92 Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount No Amount Rate Amount Rate Amount Rate Amount Rate Amount 1 87141090 4819.46 14 674.72 14 674.72 6,168.91 2 85122010 405.08 9 36.46 9 36.46 477.99 3 39269099 103.38 9 9.30 9 9.30 121.99 4 85365090 1000 9 9.00 9 9.00 118.00 5 998729 700.00 9 63.00 9 63.00 18 0.00 0.00 826.00 Invoice Amount 7712.89 Total Invoice Value (in figures) : 7713 Total Labour/Service Amount 826.00 Total Invoice Value ( in words): Rupees Seven Thousand Seven Hundred Thirteen Only Total Parts Amount 6886.89 Payment Mode: Credit Total Tax Amount 1,584.97 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 7712.89 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 ---PAGE END--- 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-MP10BA01-2021-002419 CO. LTD. Invoice No.: MP10BA0120002419 dated 30/12/2020 Registration No.: MP43EF7257 Invoice Amount: 7713 Customer's Signature Frame No.: ME4JC58FEKG012772 Jobcard/Order Ref.: JC-MP10BA01-02- 2021-002426 dated 30/12/2020 Model Name: DREAM YUGA 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 : 30/12/2020 Customer Address: Frame No.: ME4JC58FEKG012772 Model Name: DREAM YUGA Jobcard No: JC-MP10BA01-02-2021-002426 Reg. No.: MP43EF7257 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---