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Tax Invoice
Order Number :- JC-AP01BB13-02-2021-009925 Invoice Number :- AP01BB1320010880 Invoice Date :- 19/01/2021 02:45:02 PM
Document Type :- Invoice Supply Type :
Supplier Details (Ship From) : Ship To (Place of Delivery):
Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED
KIRAN MAI BOOSANI BAJAJ ALLIANZ GENERAL
INSURANCE COMPANY LIMITED
Dealer Name: AUTOFIN LIMITED Name: BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED
KIRAN MAI BOOSANI BAJAJ ALLIANZ GENERAL
INSURANCE COMPANY LIMITED
Address : # SARASWATHI NAGAR COLONY, RING ROAD, BESIDE RTO Address: HYDERABAD ,
OFFICE, UPPAL India
City: HYDERABAD PIN Code : 500039 Account/Customer Id: 1-16B3MHKZ 1-11XCT83K
State: Telangana State 36 City: I.M.Colony PIN Code : 500082
Code:
Phone(M) : 4027201368 Phone(O): State: Telangana State Code: 36
GSTIN No : 36AACCA9402F1ZZ CIN No : Phone(M) : 733112437783285203 Phone(0) :
85
PAN No: AACCA9402F Email : autofin_motors@yahoo GSTIN No : 36AABCB5730G1ZY UIN:
.com
Customer Care No: 9908101236 PAN No: Email:
Place Of Supply: Bill To (Details of Recipient):
Legal Name: Legal Name : BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED
KIRAN MAI BOOSANI BAJAJ ALLIANZ GENERAL
INSURANCE COMPANY LIMITED
Dealer Name: AUTOFIN LIMITED Name: BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED
KIRAN MAI BOOSANI BAJAJ ALLIANZ GENERAL
INSURANCE COMPANY LIMITED
Address : # SARASWATHI NAGAR COLONY, RING ROAD, BESIDE RTO Address: HYDERABAD
OFFICE, UPPAL India
City: HYDERABAD PIN Code : 500039 Account/Customer Id: 1-16B3MHKZ 1-11XCT83K
State: Telangana State 36 City: I.M.Colony PIN Code : 500082
Code:
Phone(M) : 4027201368 Phone(O): State: Telangana State Code:
GSTIN No : 36AACCA9402F1ZZ CIN No : Phone(M) : 733112437783285203 Phone(0) :
85
PAN No: AACCA9402F Email : autofin_motors @yahoo. GSTIN No : 36AABCB5730G1ZY UIN:
com
Customer Care No: 9908101236 Pan No: Email:
Loyalty ID :
Frame No.: ME4JF50CBJT201928 Model Name: ACTIVA 4G Jobcard Closed Date/Time: 19/01/2021 02:44:43 PM
Engine No.: JF50ET9205281 ModeI Code: ACTIVA 4G SELF Service Type: ACCIDENT
Reg. No.: TS10EQ6607 Color: TRANCE BLUE METALLIC Service KM : 29045
Pick & Drop Availed: Sale Date: 24/02/2018 Selling Dealer: KUSHAL DEEP AUTOMOBILES
(INDIA) PVT
Billing Unit Taxable
Sr Part No/ HSN/SAC Sublet Qty Total Discoun Discount Amount
Description Price UoM
No Jobcode Code Job Type Amount t % (Rs)
(Rs) (Rs)
1 64305- COVER 87141090 Paid 739.06 1 No's 739.06 739.06
KWP- COMPL FR
F00ZZ
2 64200- SET 87141090 Paid 481.25 1 No's 481.25 481.25
KWP- ILLUSTFR
G30ZC COVER*TYP
E5*
3 61100- FENDERFR 87141090 Paid 1,361.72 1 No's 1,361.72 1,361.72
KWP-
F00ZZ
4 33460- LENSE 85122010 Paid 138.98 1 No's 138.98 138.98
KWP-F01 COMPL
5 50621- COVER 87141090 Paid 186.71 1 No's 186.71 186.71
KWP-901 UNDER
6 09621-KIT- BALL STEEL 87141090 Paid 45.31 1 No's 45.31 45.31
000 KIT-
SCOOTER
7 05131-KZK- BUSH KIT 87141090 Paid 200.78 1 No's 200.78 200.78
---PAGE END---
8 90344-KPL- NUTSUS 73181900 Paid 5.93 10 No's 59.30 59.30
900 5MM
9 08234-M99- ENGINEOIL 27101980 Paid 240.50 1 No's 240.50 240.50
K1BG3 TWO
800ML10W30
MB
10 81131- COVER 87141090 Paid 460.93 No's 460.93 460.93
KWP- INNER*NH1*
90OZA
11 06430- SHOE SET 87149400 Paid 185.93 1 No's 185.93 185.93
KWP-900 BRAKE
12 23100- BELTDRIVE 40103390 Paid 385.58 1 No's 385.58 385.58
KWP-D01
13 02253- KIT CLUTCH 87141090 Paid 909.36 1 No's 909.36 909.36
KWP-K00 REPAIR
14 22100- OUTERCOMP 87141090 Paid 532.03 1 No's 532.03 532.03
KWP-D01 .CLUTCH(F.
C.C.)
15 90202-KPL- NUTSPECIAL 87141090 Paid 15.62 1 No's 15.62 15.62
900 28MM
16 22110- FACE 87141090 Paid 385.93 1 No's 385.93 385.93
KWP-D00 COMPMOVA
BLE DRIVE
17 22123- ROLLERSET 87141090 Paid 300.00 1 No's 300.00 300.00
KWN-780 WEIGHT
18 22105- BOSSDRIVE 87141090 Paid 126.56 1 No's 126.56 126.56
KWP-D00 FACE
19 22011-KPL- PIECE 87141090 Paid 123.43 1 No's 123.43 123.43
940 SETSLIDE
20 HM-ATZ4L BATTERY 85071000 Paid 946.00 1 No's 946.00 946.00
HM-ATZ4L-
AMARON
21 34906- BULBTAIL 85392120 Paid 23.72 1 No's 23.72 23.72
GBG-750 LIGHT
22 93891-050- SCREWWAS 73181900 Paid 2.54 1 No's 2.54 2.54
1607 HER5X16
23 17950- CABLE 87141090 Paid 82.03 1 No's 82.03 82.03
KWP-900 COMPCHOK
E
24 AP010013- CONSUMABL 27101980 Paid 200.00 1 No's 200.00 200.00
C.ACC ES ACC
25 SJ288888 HYGIENE 998729 30 Paid 0.00 1 Hrs 30.00 30.00
AND
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N CHARGES
AT RS 30
PLUS TAXES
26 PAIDSERVI Paid Service 998729 300 Paid 0.00 1 Hrs 300.00 300.00
CE
27 EG301000 KIT,CLUTCH 998729 49 Paid 100.80 1 Hrs 149.80 149.80
REPAIR -
ACTIVA /D-
KITCLUTCH
REPAIR -
ACTIVA /D
28 FH301805 WHEEL 998729 10 Paid 50.40 1 Hrs 60.40 60.40
ASSY.-SHOE
SET BRAKE
29 SJ203502 SUSPENSIO 998729 150 Paid 0.00 1 Hrs 150.00 150.00
N
OVERHAULIN
G
30 SJ203501 CLUTCH 998729 180 Paid 0.00 1 Hrs 180.00 180.00
OVERHAULIN
G
31 JB00056 LABOUR 998729 950 Paid 0.00 1 Hrs 950.00 950.00
CHARGE
32 FH600300 STEERING 998729 0 Paid 201.60 1 Hrs 201.60 1.60 200.00
STEM FORK
ASSY.-BALL
STEEL 5
33 SJ203240 FR FENDOR 998729 850 Paid 0.00 1 Hrs 850.00 850.00
PAINTING
34 SJ203207 FORK 998729 600 Paid 0.00 1 Hrs 600.00 600.00
REPAIR
35 SJ203235 LH FRONT 998729 1200 Paid 0.00 1 Hrs 1,200.00 1200.00
BODY PANEL
PAINTING
Total 12803.47
Sr HSN/SAC Code Taxable SGST/UTGST CGST IGST CESS Total Amount
No Amount
Rate Amount Rate Amount Rate Amount Rate Amount
1 87141090 5950.72 14 833.10 14 833.10 7,616.92
2 85122010 138.98 9 12.51 9 12.51 164.00
3 73181900 61.84* 9 5.57 9 5.57 72.97
4 27101980 440.50 9 39.65 9 39.65 519.79
5 87149400 185.93 14 26.03 14 26.03 237.99
6 40103390 385.58 9 34.70 9 34.70 454.98
7 85071000 946.00 14 132.44 14 132.44 1,210.88
8 85392120 23.72 9 2.13 9 2.13 27.99
9 998729 4,670.20 9 420.32 9 420.32 18 0.00 0.00 5,510.84
Invoice Amount 15816.36
Total Invoice Value (in figures) : 15816 Total Labour/Service Amount 5510.84
Total Invoice Value ( in words): Rupees Fifteen Thousand Eight Hundred Sixteen Only Total Parts Amount 10305.52
Payment Mode: Cash Total Tax Amount 3,012.89
If reverse charge applicable, then specify amount of tax: Total Invoice Amount 15816.36
Terms and Conditions: For AUTOFIN LIMITED
1. All disputes are subject to HYDERABAD 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.
---PAGE END---
Advisor Name:
IWe 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 confidentality. 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
2nd Free Service 5500-6000 * Kms or Days, whichever comes earlier
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---
AUTOFIN LIMITED
GATEPASS
Customer Name: BAJAJ ALLIANZ GENERAL INSURANCE Ref No: SERINV-AP01BB13-2021-010880
COMPANY LIMITED KIRAN MAI BOOSANI Invoice No.: AP01BB1320010880
dated 19/01/2021
Registration No.: TS10EQ6607 Invoice Amount: 15816 Customer's
Signature
Frame No.: ME4JF50CBJT201928 Jobcard/Order Ref.: JC-AP01BB13-02
2021-009925
dated 19/01/2021
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 COMPANY LIMITED KIRAN MAI Date : 19/01/2021
BOOSANI
Customer Address:
Frame No.: ME4JF50CBJT201928 Model Name: ACTIVA 4G
Jobcard No: JC-AP01BB13-02-2021-009925 Reg. No.: TS10EQ6607
SL. PARTICULARS EXCELLENT VERY GOOD GOOD FAIR POOR
NO.
1 Overall Job card opening process [1 [ ] [1 [] [ 1
2 Overall Service advisor performance [] [] [1 [1 []
3 Overall Workshop facilities [1 [1 [1 [1 [1
4 Overall Quality of service/repair [ ] [ ] [] [ ] []
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
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