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PRE-INSPECTION REPORT FOR FOUR WHEELER

INITIATOR DETAILS
INSURANCE COMPANY NAME Liberty General Insurance Limited
AGENCY NAME Mahindra First Choice Wheels Ltd
INITIATOR NAME MEENA KUMARI
INSPECTION DONE BY Mahindra First Choice Wheels Ltd
CASE REFERENCE NUMBER LB0324812
PROPOSER NAME TECHNO JI
LEAD CREATION DATE 13 Jan 2022 15:17:00
PROPOSAL NO

Based on the information given the following vehicle proposed for insurance has been physically
Inspected On : 13/01/2022 16:43,at GHAZIABAD Pin 201301, belonging to : TECHNO JI
Inspection Status: Final Status - Not Recommended 13 Jan 2022 17:41:36

1.1. VEHICLE DETAILS

VEHICLE DETAILS
VEHICLE NO DL13CC4606 MAKE HONDA
MODEL MOBILIO CHASSIS NO JEN000789
ENGINE NO 11309800 MANUFACTURING MONTH & -2014
YEAR
VEHICLE TYPE PVT. CAR ENGINE CUBIC CAPACITY
TYRES MAKE & NO FUEL TYPE Diesel
ODOMETER 168882 PAINT SHADE
INSURANCE POLICY NO ACCESSORIES
CHECKED
VEHICLE REMARKS Tie-Up Flag
INSPECTION REMARKS VEHICLE DENTED SCRATCH, IS ANTITHEFT DEVICE NO
SCRATCH DENTED IN VEHICLE PRESENT

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