Scan QR Code for "Customer Awareness Videos" Original For Recipient Second for transporter Tax Invoice Third for supplier Dealer Code: MP100001 Ref No: SERINV-MP100001- Invoice Date/Time: 11/09/2020 12:56:45 PM 2021-008138 CRN: Invoice No.: MP10000120008138 Billed To: Ship To: Dealer Name: ANKLESARIA AUTOMOBILES Name: BAJAJ ALLIANZ Name: ANKLESARIA AUTOMOBILES Address: 1,NEW ROAD RATLAM GENERAL INSURANCE CO. Address: 1, NEW ROAD MP India LTD. Customer Id : 1-14N4YYZL Address: Pincode: 457001 PH: 9165836797 RATLAM MP India Tele: 7412236809 FAX No: Email: PH 7412236809 Email: anklesariahonda@rediffmail.com Account: Email: anklesariahonda@rediffmail.com GSTIN : 23AAKFA1505C1ZA GSTIN Date: Name: BAJAJ ALLIANZ GSTIN: 23AAKFA1505C1ZA PAN: AAKFA1505C GENERAL INSURANCE CO. PAN: AAKFA1505C LTD Account Id : Address: 4TH FLOOR, COMMERECE HOUSE 7, RACE COURSE ROAD INDORE,MP, CIN : India 452001 CIN: PH: 9165836797 GSTIN: 23AABCB5730G1Z5 PAN: CIN: State : MP Customer Care No: State Code:23 State: State Code: State: MP State Code: 23 7389929794 Vehicle Details: Job Card Detail : Place of Supply : Frame No.: Model Name: ACTIVA Jobcard No : JC-MP100001-02- Name: ANKLESARIA AUTOMOBILES ME4JF507GHU375964 4G 2021-008584 Engine No.: JF50EU5375999 Model Code: ACTIVA Jobcard Closed Date/Time: Address: 1, NEW ROAD RATLAM 4G SELF 11/09/2020 12:00:54 PM MPIndia Color: MAJESTIC Reg. No.: MP43DX9186 Service Type: ACCIDENT GSTIN: 23AAKFA1505C1ZA BROWN METAL Pick & Drop Availed: Sale Date: 07/07/2017 Selling Dealer: ANKLESARIA Loyalty ID: Service KM : 15982 State: MP State Code: 23 AUTOMOBILES Unit Taxable Sr Part No/ HSN/SAC Sublet Billing Total Discount Discount Description Price Qty UoM Amount No Jobcode Code Job Type Amount % (Rs) (Rs) (Rs) 1 05321- KITRACE 87141090 Paid 302.34 1 No's 302.34 302.34 KEM-P00 STEERING 2 45440- CABLE 87141090 Paid 128.91 1 No's 128.91 128.91 KWP-910 COMPLH FR BRK 3 53205- COVERHA 87141090 Paid 759.36 1 No's 759.36 759.36 KWP- NDLE FO0ZH FR*NH303 M* 4 80151- COVERCE 87141090 Paid 142.96 1 No's 142.96 142.96 KWP- NTER*NH1 ---PAGE END--- 5 83520- MOULR 87141090 Paid 15.62 1 No's 15.62 15.62 KWP-F00 BODY COVER 6 83620- MOULL 87141090 Paid 14.84 1 No's 14.84 14.84 KWP-F01 BODY COVER 7 90302- NUTPUSH 73182910 Paid 3.38 4 No's 13.52 13.52 KPL-660 3 MM 8 45459- NUTBRAK 87141090 Paid 14.84 1 No's 14.84 14.84 KWP-911 E ADJUSTIN G 9 45456- SPRINGBR 73201019 Paid 2.54 1 No's 2.54 2.54 KWP-910 K CABLE END 10 87515- EMBLEM 87141090 Paid 107.81 2 No's 215.62 215.62 KWP-F00 RBODY COVER 11 86833- MARKHET 39199010 Paid 5.08 1 No's 5.08 5.08 KWP- *TYPE1* DOOZA 12 50501- STOPPER 40169990 Paid 9.32 1 No's 9.32 9.32 KPL-900 RUBBER 13 53173- BANDHAN 87141090 Paid 3.90 1 No's 3.90 3.90 K24-G00 DLE BRKT 14 18318- PROTECT 87141090 Paid 52.34 1 No's 52.34 52.34 KWP-H00 ORMUFFL ER 15 53178- LEVERL 87141090 Paid 83.59 1 No's 83.59 83.59 KWP-D00 STRG HANDLE 16 53175- LEVER R 87141090 Paid 71.87 1 No's 71.87 71.87 KWP-D00 STRG HANDLE 17 86834- MARK4G* 39199010 Paid 1.68 1 No's 1.68 1.68 KWP- TYPE1* G30ZA 18 08234- ENGINEOI 27101980 Paid 240.50 1 No's 240.50 240.50 M99- L ILIN K1BL1 800ML10W 30MB 19 34906- BULBTAIL 85399090 Paid 28.80 1 No's 28.80 28.80 KWF-900 LIGHT 20 94109- WASHER1 87141090 Paid 2.34 1 No's 2.34 2.34 12000 2MM DRAIN 21 92800- DRAIN 87141090 Paid 14.84 1 No's 14.84 14.84 ---PAGE END--- 22 35180- SW UNIT 85369030 Paid 49.15 1 No's 49.15 49.15 KWP-901 HORN 23 90344- NUTSUS 73181900 Paid 5.08 15 No's 76.20 76.20 KPL-900 5MM 24 SJ203232 PAINTING 998729 6700 Paid 0.00 1 Hrs 6,700.00 6700.00 25 SJ203204 OPENING 998729 1150 Paid 0.00 1 Hrs 1,150.00 1150.00 & FITTING 10127.2 Total 0 Sr HSN/SAC Taxable SGST/UTGST CGST IGST CESS Total Amount No Code Amount Rate Rate Rate Rate Amount Amount Amount Amount 1 87141090 1823.37 14 255.27 14 255.27 2,333.91 2 73182910 40.56 9 3.65 9 3.65 42.99 3 73201019 2.54 9 0.23 9 0.23 3.00 4 39199010 6.76 9 0.61 9 0.61 7.98 5 40169990 9.32 9 0.84 9 0.84 11.00 6 27101980 240.50 9 21.64 9 21.64 283.79 7 85399090 28.80 9 2.59 9 2.59 33.98 8 85369030 49.15 9 4.42 9 4.42 58.00 9 73181900 76.20 9 6.86 9 6.86 89.92 10 998729 7,850.00 9 706.50 9 706.50 18 0.00 0.00 9,263.00 Invoice Amount 12100.53 Total Invoice Value (in figures) :12101 Total Labour/Service Amount 9263.00 Total Invoice Value ( in words): Rupees Twelve Thousand One Hundred One Only Total Parts Amount 2837.53 Payment Mode: Cash Total Tax Amount 2,005.23 If reverse charge applicable, then specify amount of tax: Total Invoice Amount 12100.53 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: RAMCHARAN Customer's Signature Advisor Name: HONDA Experience More Benefits, More Joy With Honda Joy Club joyclub ---PAGE END--- ANKLESARIA AUTOMOBILES GATEPASS Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-MP100001-2021-008138 CO. LTD. Invoice No.: MP10000120008138 dated 11/09/2020 Registration No.: MP43DX9186 Invoice Amount: 12101 Customer's Signature Frame No.: ME4JF507GHU375964 Jobcard/Order Ref.: JC-MP100001-02- 2021-008584 dated 11/09/2020 Model Name: ACTIVA 4G 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 : 11/09/2020 Customer Address: Frame No.: ME4JF507GHU375964 Model Name: ACTIVA 4G Jobcard No: JC-MP100001-02-2021-008584 Reg. No.: MP43DX9186 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---