JOINT INSPECTION REPORT FOR BAJAJ AUTO

Date: Consignor : Consignee : Consignee!s Representati"e : Date Ti%e of Sur"ey :

ASPL Reference No. : Transporter : L.R. No. Truc# $ : Date Place of Arri"al : Date :

Sr $ ( ) * + , . / 0 (1 (( ()

&n"oice $

Chassis $

Part

'ty Short'ty Da%aged Nature of Da%ages

Ori in!" #o$%ments to &e $o""e$ted !t time o' S%r(e) (Please tick documents collected) 2 3 &n"oice 2 3 LR 2 3 T&CL 2 3 Clai% 4or% 2 3 Repair 6sti%ate

Addition!" #o$%ments re*%ired 'or $"!im (!"%e + INR ,-.--- (Please tick documents collected) 2 3 5onetary Clai% on Carrier 2 3 Certificate of 4acts 2 3 4&R 74or Accident 8 Shortage Clai%s9

SALVAGE OFFER : __________%

Sur"eyor:s Sign and Sta%p

Dealer Sign

Sta%p

Terms & Conditions: ; Rates of Da%aged Parts <ill =e considered as per the Net Dealer Price Agreed =y >a?a? Auto Ltd ; La=our Charges <ill =e considered as per the La=our Charges Agreed =y >a?a? Auto Ltd

Kindly use additional sheets if required