LiveChek Private Limited

W-101-E, Lane 6, Anupam Gardens

LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

Case Ref No. 1505424

Company IFFCO TOKIO GI

Branch Iffco Tokio Ahmedabad 51 ( 51 )

Insured Name PATEL PADMAKANT AMBALA ( 918851455262 )

Insured Address -

Proposer [ 18118 ] Nikunj ( 919723377087 )

Requested Date 10/10/2023 12:18

Inspection Date 10/10/2023 12:18

Vehicle Registration Number GJ01KR3188

Inspection Completion Date 10/10/2023 12:26

Vehicle Type Car

Vcs User Suraj Bhan

Vehicle Manufacturer Nissan

Vehicle Model Micra

Vehicle Parts Vehicle Parts
Headlight- Left Intact Back Glass Intact Iffco tokio branch name 51

Headlight- Right Intact Left Tail Lamp Intact

Foglamp- Left Intact Right Tail Lamp Intact
Foglamp- Right Intact Under Carriage Intact
Front Bumper Intact Silencer Intact
Grill Intact Fuel Tank Intact
Indicator- Left Intact Right Fender Intact
Indicator- Right Intact Right Quarter Panel Dented
Front Panel Intact Right Piilar( A) Intact
Bonnet Intact Right Pillar( B) Intact
Cowl Intact Right Pillar( C) Intact
Left Apron Intact Right Front Door Intact
Right Apron Intact Right Side Beading Intact
Oil Pan Intact Right Rear Door Intact
Floor Intact Right Running Board Intact
Left Fender Intact Right Side Rear View Mirror Intact
Left Front Door Intact Right Front Door Glass Intact
Left Side Beading Intact Right Rear Door Glass Intact
Left Quarter Panel Intact Car Roof Intact
Left Pillar( A) Intact Sunroof Glass Intact
Left Pillar( B) Intact Front Windshield Glass Intact
Left Pillar( C) Intact Vehicle Details
Left Rear Door Intact Odometer Reading 78695
Left Running Board Intact Chassis Number 503931
Left Side Rear View Mirror Intact Engine Number 011008
Left Front Door Glass Intact Colour -
Left Rear Door Glass Intact Model Year 2012
Dickey Intact Fuel Type Diesel
Rear Bumper Scratch
Reflector Light Intact

Client signature
I hereby confirm and declare that above mentioned identification details of my vehicle No. provided as well as that of damage to the vehicle as noted by the inspecting official are
correct. Nothing has been hidden/undisclosert. I further confirm & declare that the Motor vehicle proposed for insurance after a break in cover has not met with any accident giving rise
to any claim by a Third Party for injury or death caused to any person or damages to any property/Insured vehicle during the period following the expiry of a previous insurance, till the
moment it is proposed for insurance. I also agree that damages mentioned above shall be excluded in the event of any claim being lodged.

(SIGNATURE)
*Captured on mobile screen
Location : 23.0418899000 , 72.5505746000

QC Remarks
Vehicle details are as per RC .

LiveChek Pvt. Ltd. Page 1/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

*Please note that if a vehicle body part is marked in the picture, it means it may be dented or scratched even if it is mentioned as intact in the report.
*We some times ask for additional pictures from the Client / Customer through Whatsapp for reference and clarification to remove any doubts. We also try and obtain a videos in many
cases.

LiveChek Pvt. Ltd. Page 2/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

DOCUMENT IMAGES

Part : REGISTRATION CERTIFICATE (FRONT) Date : 10/10/2023 Part : REGISTRATION CERTIFICATE (BACK) Date : 10/10/2023
Location : 23.0417120000 , 72.5504152000 Time : 12:19:18 Location : 23.0417477000 , 72.5504604000 Time : 12:19:26

LiveChek Pvt. Ltd. Page 3/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : FRONT RIGHT CORNER Date : 10/10/2023 Part : FRONT SIDE Date : 10/10/2023
Location : 23.0418003000 , 72.5504808000 Time : 12:19:37 Location : 23.0418210000 , 72.5504996000 Time : 12:19:43

Part : CAR BASE FROM FRONT Date : 10/10/2023 Part : ENGINE IMAGE WITH REGISTRATION PLATE Date : 10/10/2023
Location : 23.0418268000 , 72.5505078000 Time : 12:19:51 Location : 23.0418194000 , 72.5505373000 Time : 12:20:14

Part : CHASIS NO.(EMBOSSED) Date : 10/10/2023 Part : LEFT SIDE Date : 10/10/2023
Location : 23.0418314000 , 72.5505359000 Time : 12:20:23 Location : 23.0418594000 , 72.5505367000 Time : 12:20:44

LiveChek Pvt. Ltd. Page 4/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : BACK LEFT CORNER Date : 10/10/2023 Part : BACK SIDE Date : 10/10/2023
Location : 23.0418587000 , 72.5505465000 Time : 12:20:51 Location : 23.0418425000 , 72.5505745000 Time : 12:20:58

Part : OPEN DICKEY/CNG Date : 10/10/2023 Part : CAR BASE FROM BACK Date : 10/10/2023
Location : 23.0418267000 , 72.5505862000 Time : 12:21:11 Location : 23.0418224000 , 72.5505909000 Time : 12:21:23

Part : RIGHT SIDE Date : 10/10/2023 Part : DASHBOARD Date : 10/10/2023

Location : 23.0418183000 , 72.5505849000 Time : 12:21:47 Location : 23.0418181000 , 72.5505825000 Time : 12:22:00

LiveChek Pvt. Ltd. Page 5/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : ODOMETER Date : 10/10/2023 Part : WINDSHIELD INSIDE FROM RIGHT SIDE Date : 10/10/2023
Location : 23.0418306000 , 72.5505773000 Time : 12:22:41 Location : 23.0418407000 , 72.5505575000 Time : 12:22:53

Part : WINDSHIELD INSIDE FROM LEFT SIDE Date : 10/10/2023 Part : WINDSHIELD FROM OUTSIDE Date : 10/10/2023
Location : 23.0418074000 , 72.5505519000 Time : 12:23:10 Location : 23.0418096000 , 72.5505288000 Time : 12:23:21

LiveChek Pvt. Ltd. Page 6/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

IMPACT IMAGES

Part : DAMAGED PARTS Date : 10/10/2023

Location : 23.0418093000 , 72.5505273000 Time : 12:23:26

LiveChek Pvt. Ltd. Page 7/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

SIGNATURES IMAGES

Part : CLIENT SIGNATURE Date : 10/10/2023

Location : 23.0418899000 , 72.5505746000 Time : 12:25:55

LiveChek Pvt. Ltd. Page 8/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

OTHERDOC IMAGES

Part : IMG20231010122614 Date : 10/10/2023

Location : 0.0000000000 , 0.0000000000 Time : 12:27:52

LiveChek Pvt. Ltd. Page 9/10

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

MARKEDIMAGES IMAGES

Part : MARKED DURING QC Date : 10/10/2023 Part : MARKED DURING QC Date : 10/10/2023
Location : 0.0000000000 , 0.0000000000 Time : 12:33:04 Location : 0.0000000000 , 0.0000000000 Time : 12:33:19

Video
video_1696920838003_6524f3c24878600e0fe02e3e.mp4
23.0418074000 , 72.5505519000 | 10/10/2023 | 12:25:10

LiveChek Pvt. Ltd. Page 10/10