MAHINDRA FIRST CHOICE WHEELS LTD

Address : 11-B, R.G.M. PLAZA, NEAR CLOCK TOWER,CHAKRATA ROAD,DEHRADUN-248001

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Insurer Ref No. NA COMMERCIAL VEHICLE INSPECTION REPORT Ref No. PI11340934

Proposer : AHSAN Insurer/Broker : UNIVERSAL SOMPO GENERAL INSURANCE COMPANY LTD.

Officer/Agent Name & No : Brijesh Jain -- 9319406152 Inspection Date : 10/04/2019 11:35 AM Request Date : 10/04/2019 10:34 AM

Inspection Place : DEHRADUN

VEHICLE DETAILS

Vehicle NO : UP12AT6878 Chassis NO : JB139614 Engine NO : JB195838 Make : EICHER

Model & Variant :PRO 1114 Year of Manufacture : 2018 Odometer Reading : 62386 R.C. Verified : Yes

Type Of Body : Truck Fuel Used : Diesel Chassis Production No :NA Stereo Make: NA

INSPECTION DETAILS

BODY PARTS

Cowl: Safe Cabin: Safe Front Excavator : NA Boom : NA

Chassis Frame: Safe Stepney : Average Left Mudguard : Safe Grill : Safe

Front Body : Safe Bonnet : Safe Ac : NA Fuel Tank : Safe

Head Light : Safe Right Mudguard : Safe DashBoard : Safe Right Body : Safe

Crane Bucket : NA Fans : NA Seats : Average Indicator Light : Safe

Cabin LT Door: Safe Crane Hook : NA Hydraulic System : NA Tyres : Average

Rear Body : Safe Cabin RT Door: Safe Bumper: Scratch Left Body: Safe

GLASSES

W.S. Glasses : Safe Excavator Cabin Glass : NA Left Window Glasses : Safe Crane Cabin Glass : NA

Right Window Glasses : Safe Rear View Mirrors : Safe Back Glasses : NA Tail Lamp : Safe

OTHERS

Extra Fittings : N MARKET VALUE ON THE DATE OF INSPECTION(In INR): NA

Remarks : RECOMMEND Inspection Status : Recommended

UP12AT6878 - 10/04/2019 11:33:15 AM

Surveyor Name: SHUBHAM Page 1/4 Regional Centre: UTTRANCHAL RO-2

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.
 Eicher Pro 1114

UP12AT6878 - 10/04/2019 11:31:38 AM UP12AT6878 - 10/04/2019 11:31:41 AM

UP12AT6878 - 10/04/2019 11:33:55 AM UP12AT6878 - 10/04/2019 11:32:17 AM

UP12AT6878 - 10/04/2019 11:32:14 AM UP12AT6878 - 10/04/2019 11:32:59 AM

UP12AT6878 - 10/04/2019 11:33:15 AM UP12AT6878 - 10/04/2019 11:31:30 AM

Surveyor Name: SHUBHAM Page 2/4 Regional Centre: UTTRANCHAL RO-2

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.
 Eicher Pro 1114

UP12AT6878 - 10/04/2019 11:31:38 AM UP12AT6878 - 10/04/2019 11:31:41 AM

UP12AT6878 - 10/04/2019 11:31:48 AM UP12AT6878 - 10/04/2019 11:32:08 AM

UP12AT6878 - 10/04/2019 11:32:14 AM UP12AT6878 - 10/04/2019 11:32:17 AM

UP12AT6878 - 10/04/2019 11:32:26 AM UP12AT6878 - 10/04/2019 11:33:52 AM

Surveyor Name: SHUBHAM Page 3/4 Regional Centre: UTTRANCHAL RO-2

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.
 Eicher Pro 1114

UP12AT6878 - 10/04/2019 11:33:55 AM UP12AT6878 - 10/04/2019 11:34:07 AM

UP12AT6878 - 10/04/2019 11:34:49 AM UP12AT6878

DECLARATION
I/We hereby confirm that the vehicle has been inspected in presense of me/my/our representative.
I/We hereby confirm that the identification details and damages of vehicle as noted / photographs taken by the inspecting officer are correct. Nothing has been
hidden/undisclosed.
I/We agreed that Repair/Replacement of dented/crack parts & Repair Painting of dented/scratched panels as per this inspection photographs shall be excluded in
event of any claim lodged during the policy period.
I hereby certify that I have shown the same vehicle which I have to get insured and if later at the time of claim it is found that vehicle shown and accidental are
different then no claim is payble to me.
I hereby certify that I will not claim for damages existing in my vehicle whether same are mentioned in report or not if same are seen in photograph taken by the
inspector.

Surveyor Name: SHUBHAM Page 4/4 Regional Centre: UTTRANCHAL RO-2

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.