MAHINDRA FIRST CHOICE WHEELS LTD

Address : 1/18,UPPER 3RD FLOOR LALITA PARK LAXMI NAGAR DELHI- 110092
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Phone: 8826079911 Email : customercare@autoinspekt.com
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detailed autoinspekt report

Insurer Ref No. NA 4-WHEELER INSPECTION REPORT Ref No. PI13975376

Proposer : MR. SURAJMAL Insurer/Broker : UNITED INDIA INSURANCE CO. LTD.

Officer/Agent Name & No : NA -- 8882050705 Inspection Date : 24/05/2022 01:05 PM Request Date : 24/05/2022 12:20 PM

Inspection Place : 8882050705 cash sec 1 rk puram Self-Inspection Case : No

VEHICLE DETAILS
Vehicle NO : DL12CM9912 Chassis NO : JKA06370 Engine NO : YK03808 Make : TATA

Model & Variant : TIAGO Colour : ORANGE Year of Manufacture : 2018 Odometer Reading : 15921

R.C. Verified : Yes Fuel Used : CNG(Petrol) Stepney Make-Dot No. : ..

RH Front Tyre DOT No. : . RH Rear Tyre DOT No. : .

LH Front Tyre DOT No. : . LH Rear Tyre DOT No. : ..

ELECTRICAL& NON-ELECTRICAL ACCESSORIES

Centre Lock : Yes Gear Locking : NA Other Non-Electrical : NA

INSPECTION DETAILS
FRONT / REAR

Front Bumper: Scratch Indicator Light (LT) : Safe Front Panel : Safe Dicky : Safe

Grill: Safe Indicator Light (RT) : Safe Bonnet : Safe Rear Bumper : Safe

Head Lamp (LT) : Safe Fog Lamp (LT) : NA Left Apron : Safe Tail Lamp (LT): Safe

Head Lamp (RT) : Safe Fog Lamp (RT) : NA Right Apron : Safe Tail Lamp (RT) : Safe

LEFT

LT FrontFender : Safe LT Pillar Door (A) : Safe LT FrontDoor : Safe LT Pillar Centre (B) : Safe

LT RearDoor : Safe LT Pillar Rear (C) : Safe LT RunningBoard : Safe LT Qtr Panel : Safe

RIGHT

RT Qtr Panel : Dented RT Center Pillar (B) : Safe Floor / Silencer : Safe RT Rear Door : Dented

RT Rear Pillar (C): Safe Rear View Mirror(LT): Safe RT Front Door : Safe RT Running Board : Safe

Rear View Mirror(RT): Safe RT Front Pillar (A): Safe RT Front Fender : Safe Tyres : Safe

GLASS/OTHERS

Back Glass : Intact RF Door Glass : Intact LF Door Glass : Intact Rim: Safe

Front ws Glass Laminated : Intact RR Door Glass : Intact LR Door Glass : Intact Under Carriage : Safe

Remarks : 1. RC SEEN Inspection Status : Recommended

DL12CM9912 - 24/05/2022 01:01:09 PM - 28.56459 - 77.17896

Surveyor Name: SURJIT_SOUTH Page 1/5 Regional Centre: DELHI NCR

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

DL12CM9912 - 24/05/2022 01:03:03 PM - 28.56460 - 77.17896 DL12CM9912 - 24/05/2022 12:57:23 PM - 28.56454 - 77.17891

DL12CM9912 - 24/05/2022 12:59:02 PM - 28.56457 - 77.17897 DL12CM9912 - 24/05/2022 12:57:00 PM

DL12CM9912 - 24/05/2022 01:01:32 PM - 28.56459 - 77.17897 DL12CM9912 - 24/05/2022 12:59:54 PM - 28.56458 - 77.17895

DL12CM9912 - 24/05/2022 12:57:07 PM - 28.56359 - 77.17889 DL12CM9912 - 24/05/2022 12:57:36 PM - 28.56452 - 77.17894

Surveyor Name: SURJIT_SOUTH Page 2/5 Regional Centre: DELHI NCR

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

DL12CM9912 - 24/05/2022 12:57:15 PM - 28.56418 - 77.17883 DL12CM9912 - 24/05/2022 12:57:30 PM

DL12CM9912 - 24/05/2022 12:57:42 PM - 28.56456 - 77.17897 DL12CM9912 - 24/05/2022 12:58:09 PM - 28.56456 - 77.17902

DL12CM9912 - 24/05/2022 12:58:54 PM - 28.56463 - 77.17907 DL12CM9912 - 24/05/2022 12:59:15 PM - 28.56460 - 77.17896

DL12CM9912 - 24/05/2022 01:00:06 PM - 28.56459 - 77.17895 DL12CM9912 - 24/05/2022 01:00:13 PM - 28.56459 - 77.17895

Surveyor Name: SURJIT_SOUTH Page 3/5 Regional Centre: DELHI NCR

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.
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DL12CM9912 - 24/05/2022 01:01:38 PM - 28.56459 - 77.17896 DL12CM9912 - 24/05/2022 01:02:15 PM - 28.56456 - 77.17895

DL12CM9912 - 24/05/2022 01:02:21 PM - 28.56460 - 77.17895 DL12CM9912 - 24/05/2022 01:02:28 PM - 28.56459 - 77.17895

DL12CM9912 - 24/05/2022 12:58:38 PM - 28.56473 - 77.17929 DL12CM9912 - 24/05/2022 01:00:31 PM - 28.56459 - 77.17895

DL12CM9912 - 24/05/2022 01:00:51 PM - 28.56459 - 77.17896 DL12CM9912 - 24/05/2022 01:01:59 PM - 28.56359 - 77.17889

Surveyor Name: SURJIT_SOUTH Page 4/5 Regional Centre: DELHI NCR

Corporate Office : Mahindra First Choice Wheels Limited, Elnet Software City, 5th Floor, TS 140, Block 2&9, Rajiv Gandhi Salai, Taramani, Chennai - 600 113.
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DL12CM9912 - 24/05/2022 01:03:14 PM - 28.56459 - 77.17895

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: SURJIT_SOUTH Page 5/5 Regional Centre: DELHI NCR

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