Damage Assessment Center in Al Qateef DA Center - ‫ر ز ا د ر‬

Qateef Center City - ‫د ا ر ز‬

10/08/2023 10:18:50 AM Print Date - ‫ر اط‬
07/08/2023 08:30:30 AM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
07/08/2023 12:58:34 PM DA Completed Date – ‫ر إ لا‬
DA070823317 DA Report No - ‫ر م ا ر ر‬
Final Damage
DM030823162 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
1/2 Pages - ‫ر م‬

‫د‬ ‫و ء‬ Vehicle Owner Name / ‫كا ر‬ ‫ا م‬

‫ا ك‬
1097963928 ID / ‫ر م ا و‬ Owner

Vehicle Details
0546248664 Mobile No / ‫ر م ا وال‬

‫و تا ر‬
Hyundai Vehicle Manufacturer / ‫ا ر‬
Avante Model / ‫ا ود ل‬
‫تا ر‬
White 2018 Color & Year / ‫ا ون وا‬
Vehicle Info
G X R 3324 Plate No / ‫رما و‬
KMHD641UGJU609605 Chasis No / ‫ل‬ ‫رما‬
Vehicle damage assessment center in Qatif Estimated By / ‫ا د ر‬ ‫ا‬

1500.00 (A) Estimation Cost / ‫ا د ر‬ ‫ا‬ ‫أ ور ا دي ا‬

Labor Estimation

Assessment Details
225.00 VAT (15%) / ‫ا‬ ‫ا‬ ‫ر‬

‫و تا در‬
2805.60 (B) Spare Parts Cost /‫ر‬ ‫ط ا‬
‫ط ا ر‬
Spare Parts
420.84 VAT (15 %) / ‫ا‬ ‫ا‬ ‫ر‬

4305.60 (A+B) Total Cost / ‫ا‬ ‫ا‬

‫ا‬ ‫أ‬
(A+B+VAT) Total Cost including VAT / ‫ا‬ Final Estimation
4951.44
‫ا‬ ‫ر ا‬ ‫ا‬
‫ظت‬
Comments

‫ا د وا ط‬ ‫طر ا د‬ (%) ‫ا ؤو‬

Payment By Payment Method Liability(%)
Al Alamiya Cooperative Insurance Company By Insurance Company 100
Damage Assessment Center in Al Qateef DA Center - ‫ر ز ا د ر‬
Qateef Center City - ‫د ا ر ز‬
10/08/2023 10:18:50 AM Print Date - ‫ر اط‬
07/08/2023 08:30:30 AM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
07/08/2023 12:58:34 PM DA Completed Date – ‫ر إ لا‬
DA070823317 DA Report No - ‫ر م ا ر ر‬
Final Damage
DM030823162 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
2/2 Pages - ‫ر م‬

‫ا‬ ‫ر‬ ‫ا‬ ‫ا‬ ‫ر د‬ ‫ط ا‬ ‫ا‬ ‫ا‬

‫م‬ ‫ا‬
‫ا‬ ‫ا‬ ‫ا‬ ‫ر‬ ‫ما‬ ‫ا‬ ‫ا‬ ‫ا‬ ‫ورد ط ا ر‬
‫ا‬
Sparepart Final value (15%) Parts Final Value After Total cost Spare part dealer
Overall Discount
with VAT (15%) Overall Discount %
3226.44 420.84 2805.60 0% 4008.00 Manif Al Nahdi Trading Group

‫ك‬ ‫م وا‬ ‫دا‬ ‫ا‬

‫ك‬ ‫ا‬ ‫م‬ ‫ا‬ ‫ا‬ ‫ر ا و دة‬ ‫ا دد‬ ‫ط ا ر‬
Total After Discount
Consumption% Discount % Total Unit price Quantity Spare part
& Consumption

‫دام أ‬
795.90 0% 30% 1137.00 1137.00 1
86510F2000
‫ر‬ ‫دام أ‬ ‫ظ‬
36.40 0% 30% 52.00 52.00 1
86513F2000
‫ر‬ ‫ور أ‬
1973.30 0% 30% 2819.00 2819.00 1
92101F2010