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.
Corporate Office : Mahindra First Choice Wheels Limited,
Elnet Software City, 5th Floor,
TS 140, Block 2&9,
Rajiv Gandhi Salai, Taramani,
Chennai - 600 113.
PAYMENT RECEIPT
Customer Name :
Mr. HOUSING DEVELOPMENT AND INFRA HOUSING DEVELO
Registration number :
MH04EB7358
Client Ref. No :
21415870
PI Ref. No :
PI13538012
Date :
2021-11-24 14:53:00
TOTAL AMOUNT (in rupees) :
Five hundred and fifty rupees only (550/-)
Cash Payment of Rs. 550 received from Mr. HOUSING DEVELOPMENT AND INFRA HOUSING DEVELO
Corporate Office : Mahindra First Choice Wheels Limited,
Elnet Software City, 5th Floor,
TS 140, Block 2&9,
Rajiv Gandhi Salai, Taramani,
Chennai - 600 113.
