G.

SUNDARESWARAN
* Motor * Marine * Fire
Insurance Surveyor * Loss Assessor
Licence No. SLA 13216 /Exp. 12.05.2011.
No: 5/4-109D, Opp.Govt.Higher Secondary School, Karuppur, Salem - 636 012
Phone No: 0427-2345968 Mobile : 94436 - 88838 E-Mail : sundareswaran_g@rediffmail.com

Ref No.: 01/RI/ I/2009 Date : 4.03.2009.

REINSPECTION REPORT

Name and address of the Insurer : M/s. Reli an ce General Insurance

Co mpany Ltd.,
Salem.
Name and address of the Insured : Mr. M. Sen thil Raja,
3/87- Vela gounam patty , Aniyar,
Namak kal,
Tamilna du.

Claim Number : 2091037360

Policy Number : 1207782334004436

Period of Cover : 04.01.2008 To 30.12.2008.

Vehicle Registration No. : TN 28 AC 2117

Date of Registration : 14.01.2008.

Chassis No. : TPE 638246

Engine No. : TPH 501213.

Make : M/s. Ashok Leyland Ltd.

Date of accident : 18.02.2009 at 12.00AM.

Place of accident : Near PGP College Kandampalayam,

Namakkal.

Date of Re-Inspection : 05.03.2009.

Place of Re- Inspection : Sri. Murugan Lorry Body Labour Works,

152-H, Salem Road , Namakkal.

INSPECTION REMARKS :

1. Physically verified serial numbers:

Chassis No. : TPE 638246
Engine No : TPH 501213.

2. The Insured has carried out the all the repair works as per my final survey Report.
3. The following parts were renewed as per the final survey recommendation.
Windscreen glass : 1no
Quarter Glass : 1no
King Pin Kit : 1no
Glass beading : 1no.
4. Cabin and body repair / refabrication works were carried out as per my recommendation.
5. The vehicle was brought back to good road worthy condition.
6. The Photos Taken by me is enclosed herewith in a CD.
“ This repor t is issue d wit h ou t Prejudice ”