Cause of accident 0
Pending Documents
SPECIAL COMMENTS
1 PAYMENT TO WORKSHOP
DHEERAJ SOOD
SURVEYOR & LOSS ASSESSOR
Motor Claim Assessment Sheet - SBI General Insurance
Claim no 0 Vehicle No 0 Insured Name 0
Reg. Date 30-Dec-99 Date of Loss 30-Dec-99 Garage name 0
GST L % 18.00% S Tax Credit Amt - Paint Mat_Bifurcated No Age of Vehicle -
GST P % 28.00% Report Date 27-Mar-17 Labour % 100 Depreciation 0
Labour Cost
Assessed Labour Taxes
S No Part Name Work Type Painting Paint Total
R/R Repair GST % Amount Other Tax % Amount
Labour Bifurcated
1 - 18.00% 0 0.00% 0 -
2 - 18.00% 0 0 -
3 - 18.00% 0 0 -
4 - 18.00% 0 0 -
5 - 18.00% 0 0 -
6 - 18.00% 0 0 -
7 - 18.00% 0 0 -
8 - 18.00% 0 0 -
9 - 18.00% 0 0 -
10 - 18.00% 0 0 -
Total - - - - - - - -
Assessed Parts
Cost without Other Tax
S No Part Name Part Desc Part Type GST % GST Amt Amt Total
tax %
1 28.00% - 0 -
2 28.00% - 0 -
3 28.00% - 0 -
4 28.00% - 0 -
5 28.00% - 0 -
6 28.00% - 0 -
7 28.00% - 0 -
8 28.00% - 0 -
9 28.00% - 0 -
10 28.00% - 0 -
- 0 -
Total - - 0 -
Summary of Parts
GST LAB GST L & P Other Tax
S No Part Type Parts Other Tax Total Parts Dep % Dep Amt Net Parts
& PARTS Amt amt
1 Metal - - - - 0 - -
2 Plastic - - - - 50 - -
3 Fibre - - - - 30 - -
4 Glass - - - - 0 - -
Paint Material
5 - - - - - - 50 - -
Total - - -
Remarks
Liabilty Computation 1.
2.
Net parts -
3.
Net labor -
Total -
Add: Dep reimbursed NO 0.00
Add: Towing Amt -
Less: Comp. Excess 1,000.00
Less: Add/Voluntary Excess -
Less: Dep . On paint @ 28% on Paint labour -
Less: Salvage if Any - Payment to: Popular Vehicles
Final Liabilty Rs. -1000 Surveyor name & seal : DHEERAJ SOOD
DO / Liability Letter
Date: 3/27/2017
To,
Insured Name : 0
Policy No : 0
Vehicle Regn No : 0
Make & Model : 0
Claim No : 0
Date of Accident : 12/30/1899
With reference to the above claim details, our liability towards the Claim no. 0
is as below. Request you to deliver the vehicle by collecting difference amount
& without deducting salvage amount to Insured.(If Insured is not carrying the salvage)
Invoice Amount -
Invoice Date
Policy Excess 1000
Claim Approved
-1,000
For
Insured’s
1,000
Liability
Note: -
We shall release the payment within 5 working days (if claim amount is <50K)/
7 working days (if claim amount >50K) from the date of receipt of last document.
DHEERAJ SOOD
SURVEY FEE BILL TAX INVOICE DATE 27
DHEERAJ SOOD
SURVEYOR & LOSS ASSESSOR EA-415, MAYA ENCLAVE, HARI NAGAR
SLA- 41033 NEW DELHI-110064
GSTIN No. 07AQDPS5699G1Z8 MOBILE NO 9810111421, 011-25133720
PAN NO : AQDPS5699G
BILLING ADDRESS
SBI GENERAL INSURANCE CO. LTD
7B, Ground Floor, Rajendra Park, Pusa Road
New Delhi-110060
GST No. 07AAMCS8857L1ZE
CONV
CHARGE TAXABL
S NO ITEM DES SAC COD FEE S E VALUE CGST SGST
INSURAN
CE
CLAIM
ADJUST
MENT
SERVICE
S 997162 RATE % AMT RATE %
CE
COMPAN
INSURED Y
CLAIM NO0
Mohd
POL NO. Asif
s
VERIFIE
VEH. NO D
DHEERAJ SOOD
SURVEYOR AND LOSS ASSESSOR
DATE 27/10/2017
11421, 011-25133720
SGST IGST
121.5 0 0
22.5 0 0
4.5 0 0
148.5 0 0
Hundred Fourty Seven Only
SS ASSESSOR