SURVEY FEE BILL

REF NO.: RDK-1651/10/18/A DATE: 24-11-2018

RDK PVT LTD. ALFALAH INSURANCE CO. LTD.

Office # 35-36, 2nd Floor, City Centre, Head Office, 5-Saint Marry Park, Gulberg-III
Bank Road, Saddar, Rawalpindi. Lahore.
Email: rdk.rwp@gmail.com Ph: 042-111-786-234
Ph: 051-5700561 NTN: 2636304 – 6
NTN: 2647014-4 STN: 030098500964

ACCIDENT TO VEHICLE # ABC-393

MAKE/TYPE Suzuki Swift
MODEL/H.P. 2016/1328cc
POLICY/CERTIFICATE #
CLAIM NO. ISL-459/18

PARTICULARS AMOUNT

SURVEY FEE/PROFESSIONAL CHARGES. 1,500.

Re-inspection 500.

19 Nos. Photograph x Rs.20/- each 380.

Conveyance Charges 300.

Rupees Twenty Six Hundred and Eighty Only Rs.2,680.

for RDK (PVT) LTD.

 MOTOR SURVEY REPORT

REF NO.: RDK-1651/10/18/A DATE: 24-11-2018

CLAIM NO. PAYMENT TO

ISL-459/18 THE WORKSHOP

INSURANCE
INSURER M/s Alfalah Insurance Co. Ltd.
NTN: 2636304–6
STN: 030098500964

INSURED M/s Bank ALfalah Limited,

A/c

POLICY/CERTIFICATE NO.
PERIOD OF INSURANCE 2017 To 2018
INSURED ESTIMATED VALUE Rs.

VEHICLE DETAIL
REGISTRATION # MAKE MODEL/H.P. ODOMETRE
AAE-948 Suzuki Swift 2016/1328cc Km
CHASSIS NO. ENGINE NO. COLOUR TYPE OF BODY
10030983 13031049 Silky Silver

DRIVER’S
NAME LICENCE NO. ISSUE/EXPIRY ISSUED AT
Sohail Haider 399435 09-07-2013/08-07-2023 Islamabad

DATE & PLACE OF

ACCIDENT APPOINTMENT SURVEY HELD AT
-2018 2018 -2018 onwards
AT: Islamabad. AT: Repairer’s Workshop

CIRCUMSTANCES

The insured vehicle was on his way to office the proceeding vehicle suddenly applied breaks the
driver of insured vehicle also applied brakes but due to short distance it hit with the proceeding
vehicle.

ENCLOSED DOCUMENTS:
1. Repairer Estimate & Bill 4. Claim Form duly filled, signed & stamped
2. Copy of Insurance Policy/Certificate 5. Coy of Legible CNIC & Driving Licence
3. Copy of Legible Registration Book 6. Police Report (if any)

Contd…P/2
REF NO.: RDK-1651/10/18/A PAGE…2

ASSIGNMENT
After receiving insurer’s survey instructions on 28-10-2018 and we confirm having visited the
damaged vehicle at the workshop of M/s Toyota Islamabad Motors, Islamabad furnish their estimate
for Rs.11,700/- as a labour and plus cost of parts.

ASSESSMENT OF LOSS
After careful/detail survey inspection and negotiation with the repairer, we have assessed following
loss. Detail is given below:-

A. LABOUR Rs.
De-denting/Re-painting/Re-setting of Front Bumper, Front Fender, Bonnet 16,000.00
Assy, Bridge Panel, Rear Bumper, Diggi Assy, Tapet Cover.
Add 16% PST on Labour 2,560.00
B. TOTAL LABOUR CHARGES 18,560.00

S. NO. REPLACED PARTS AMOUNT (Rs.)

1 Bumper Front 7,500.00

2 R/S Head Light 12,500.00

3 Bonnet Assy 10,000.00

4 Front Show Grill 5,500.00

5 Rear Bumper 7,500.00

6 Bumper Clips 200.00

7 Tapet Cover 2,500.00

Total Cost of Parts 45,700.00

Less 20% depreciation 13,710.00

Less 0% salvage value -

ASSESSED LOSS 31,990.00

Add Labour Charges 18,560.00

NET ADJUSTED LOSS 50,550.00

DECLARATION:
“We the undersigned, holding valid Insurance Survey Licence do hereby solemnly declare that neither we,
nor any of our director, employee, associate or partner, nor any related party of any of these persons, has
any interest directly or indirectly by way of insurance, ownership, agency commission, repairs, disposal of
salvage, or in any other way whatsoever, other than as an insurance surveyor in the property or interest
which constitutes the subject matter of this survey report.”

ISSUED WITHOUT PREJUDICE AND SUBJECT TO THE

TERMS & CONDITIONS OF RELEVANT INSURANCE POLICY

for RDK (PVT) LTD.