Printed:05-Apr-2024

Vehicle Delivery Order (VDO)

Policy Number:D126473351 | Claim Number:202400340649

VDO Date: 05-Apr-2024 11:48 AM

V
Name of Owner: RAVINDER SINGH . Engine No.: K10BN7816889 Workshop Name: PREM MOTORS MARUTI PALAM VIHAR

Registration No.: DL2CAW1348 Surveyor Name: Workshop Gst Number: 06AABCP2035Q1ZA

Date of Reg.: 29-Nov-2016 Claim coordinator: Salman Ansari Date of Accident: 17-Mar-2024
VDO
Vehicle Make & Model: MARUTI SUZUKI,WAGON R Chassis No: MA3EWDE1S00B40648 Vehicle Age(Years) : 7

Payment to: Workshop

Please find the below tentative estimation for the subject vehicle as per the visible damages found on the vehicle. Any further replacement / repair of part required during the course of repair shall be verified and
included in the estimation.
We request you to take prior approval from the insurer for all kept open part approval, if any. Please find the below tentative preliminary assessment for the subject vehicle. Any further replacement / repair of part
required during the course of repair shall be verified and included in the assessment subject to admissibility of the claim. We request you to take prior approval from the insurer for all parts put on hold and are
pending for approval.

Important Notes:
• After completion of repairs,you shall submit the vehicle for reinspection and also produce the salvage of parts replaced.
• Please have the final tax invoice raised in favour of Go Digit Insurance Limited up to the Insurer liability and remaining balance be invoiced in favour of the Insured.

For any further clarification(s) regarding your claim, please feel free to reach out to at 9730040354 or [email protected]. Alternatively, you can call our call centre toll free number 1800-258-5956.

PARTS

TAXABLE TAX TOTAL DEP R&R REPAIR PAINTING

S.NO JOB MATERIAL DESCRIPTION HSN QTY. RATE TAX (%) DEP.(%)
AMOUNT AMOUNT AMOUNT AMOUNT CHARGES CHARGES CHARGES

1 Replace Plastic CLIP 87089900 8.0 ₹ 4.68 ₹ 37.44 28.0 ₹ 1.31 ₹ 47.92 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

2 Replace Plastic CLIP 87082900 12.0 ₹ 6.25 ₹ 75.0 28.0 ₹ 1.75 ₹ 96.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

3 Replace Metal .SCREW 73181500 14.0 ₹ 4.23 ₹ 59.22 18.0 ₹ .76 ₹ 69.88 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

4 Replace Metal BOLT 87089900 10.0 ₹ 4.68 ₹ 46.8 28.0 ₹ 1.31 ₹ 59.9 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

5 Replace Metal PANEL,FRONT FENDER,R 87089900 1.0 ₹ 1261.71 ₹ 1261.71 28.0 ₹ 353.28 ₹ 1614.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 3780.0

LAMP ASSY,SIDE TURN

6 Replace Plastic 85122020 1.0 ₹ 114.4 ₹ 114.4 18.0 ₹ 20.59 ₹ 134.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
SIG

7 Repair Metal PANEL ASSYREAR DOORR 8708 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 3.0 ₹ 0.0 ₹ 4066.99

HOLDER, FR BUMPER SIDE

8 Replace Plastic 87081090 1.0 ₹ 67.96 ₹ 67.96 28.0 ₹ 19.03 ₹ 86.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
LH

HOLDER, FR BUMPER SIDE

9 Replace Plastic 87081090 1.0 ₹ 67.96 ₹ 67.96 28.0 ₹ 19.03 ₹ 86.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
RH

10 Replace Plastic BUMPER FRONT 87081090 1.0 ₹ 1179.68 ₹ 1179.68 28.0 ₹ 330.31 ₹ 1509.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 4716.0

PANEL ASSYFRONT
11 Repair Metal 8708 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 5251.5
DOORR

12 Replace Plastic UNIT, HEADLAMP RH 85122010 1.0 ₹ 1940.67 ₹ 1940.67 18.0 ₹ 349.32 ₹ 2289.99 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
 13 Repair Metal PANEL, QUARTER RH 8708 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 2100.0

Sub Total ` 4850.84 ` 1096.69 ` 5997.64 ` 0.0 ` 3.0 ` 0.0 ` 19914.49

LABOUR TYPE TAXABLE AMOUNT TAX AMOUNT TOTAL AMOUNT DEP AMOUNT

Remove & Refittng ` 3.0 ` .54 ` 3.54 ` 0.0

Repair ` 0.0 ` 0.0 ` 0.0 ` 0.0

Paint Material ` 4979.0 ` 896.15 ` 5874.78 ` 0.0

Paint Labour ` 14936.0 ` 2688.46 ` 17624.33 ` 0.0

Total ` 23502.65

FINAL CALCULATION AMOUNT (`)

Total Liability ` 22375.21

Compulsary Deductible ` 1000.0

Voluntary Deductible ` 0.0

Salvage Deductions ` 0.0

Non Standard Amount ` 7125.07

Towing Amount `0

Digit Liability ` 21375.21

ASSESSMENT NOTES

1. Any additional amount over and above the approved assessment, shall be borne by the Insured.

2. The final liability has been arrived as full and final settlement after consent from the Insured. Do get back to us within the next 24 hours for any queries or clarification(s).