Vehicle No.

: nl01ac8437

Vehicle Pre-Inspection Report

Tata AIG
ONSTANTIA OFFICE COMPLEX, 2ND FLOOR 11 DR UN KOLKATA KOLKATA
WEST BENGAL 700002
03364505028 CustomerSupport@tata-aig.com

Inspection Details
Insurer Tata AIG Inspection Date 14 Jan 2023
Customer Name Md Manjoor Inspection Time 9:42AM
Representative Pin Code 825406
Name
Ref. No/Lead Id 3090932 Inspection Done By Self Agent (selfagent)

Proposer State JHARKHAND Proposer City CHAUPARAN

Office Code 0400 Office Name Kolkata

Vehicle Details
Vehicle Type Passenger Carrying Vehicle Engine No
Vehicle No. nl01ac8437 Chassis No.
Make ASHOK LEYLAND ODO Meter (KM).
Model 3518 (TRAILER) Engine Working Yes
Condition

Document Details
Previous Policy No. Fitness Certificate No.

Policy Expiry Date Fitness Valid UpTo

Break In Period Permit No.
Permit Type
Permit Valid UpTo

Vehicle Body Parts

Body Parts Description Remarks

 Vehicle No. : nl01ac8437

Declaration of Owners
• I / We hereby confirm that the vehicle has been inspected in the presence of me / my / our
representative.
• I / We hereby confirm that the identification details and damages of vehicle as noted / photographs taken
by the inspecting official are correct. Noting has been hidden / undisclosed.
• I / We agree that Repair / Replacement of dented / crack parts & Repair Painting of dented / scratched
panels as per the inspection Photographs shall be excluded in the event of any claim lodged during the
Policy period.

• I hereby certify that I have shown the same vehicle which I had to get insured and if later, at the time of
claim, it is found that the vehicles shown and claimed for accident are different, than no claim is payable
to me.

• I hereby certify that I will not claim for damages existing in my vehicle, whether same are mentioned in
report or not. If same are seen in photograph taken by the inspector.

• I Confirm that there has been no Third Party injury or Death through an accident on the above mentioned
registration number prior to the inspection done and non disclosure of the material fact could lead to
violation and criminal action against the involved parties.
Agent Recommended :- Yes
Agent Remark :-

QC Date/Time QC Status QCRemark

Jan 14 2023 11:14AM Rejected LAST 5 DIGIT OF THE
PUNCHEDCHASSIS NO.
NOT CLEARLY VISIBLE IN
THE VIDEO.

QC QC Criteria
Code
11 Video/photos not captured properly

Signature of Customer/Representative Signature of Inspecting Officer

Vehicle Photos

Inspection Date : 14 Jan 2023 Time : 9:42AM 2/6

 Vehicle No. : nl01ac8437

Front Right View Front Left View

Rear Right View Rear Left View

Inspection Date : 14 Jan 2023 Time : 9:42AM 3/6

 Vehicle No. : nl01ac8437

Original RC Odometer and RPM Meter with Engine ON

Engine OR VIN and Chassis Number Engine Bay (Covering both the Head Lamp Tabs)

Inspection Date : 14 Jan 2023 Time : 9:42AM 4/6

 Vehicle No. : nl01ac8437

Windscreen Glass from Inside Windscreen Glass from (Full view from outside without
any obstructions)

Keys (Original and Spare) Under Open Bonnet

Inspection Date : 14 Jan 2023 Time : 9:42AM 5/6

 Vehicle No. : nl01ac8437

Tax Copy Additional Image

Video URL
No. External Media Link
1 https://tataaig.vahancheck.com/PreInspection/InspUploadedDocument/1/3090932/1~Video.mp4

Inspection Date : 14 Jan 2023 Time : 9:42AM 6/6