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