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Print Estimation

 

 

Page 1 of 3

 

 

Estimation Details

 

Policy Details :

 

 

 

Customer Name

Mr. HITENDER SINGH

Insurance Company

N.I.C

Policy No

35101031126132166840

Policy Expiry Date

13-Nov-2013

Vehicle Sub Model

Ritz LXI

Registration No.

HR30K3336

Engine No

7021010

Chassis No

353750

Dealer Name

ROYAL MOTORS-0369

Dealer Work Shop

ROYAL MOTORS-0369 BALLABGARH 21/5 Mathura

Address

road Ballabgarh,,,

 

 

64Vb Status

Not Verified

Claim Count

1

NCB

20 %

 

 

Claim Deatils

 

 

 

Estimation Date

17/11/2012

Estimation No

E1314805

Service Adviser

fahim

Claim No

CL1/32166840/91729357

Name

 

 

 

Service Adviser

9212242536

 

 

Mobile No

 

 

 

 

 

Accident Details :

Date Of Accident

17-Nov-2012

Accident City

Cause Of Accident

front side damage

 

Part Estimation Detail

S.No.

Part No.

Part Desc.

MRP

Depreciation

Quantity

 

 

 

 

%

 

184511M83K01 GLASS, WINDSHIELD

257300M83K00 PANEL ASSY, FRONT HOOD

373111M83K00- PANEL, INSTRUMENT MAIN P4Z (GRAY)

4 99000M24120-460 DG SEALANT SET WITHOUT PRIMER

5 72330M83K00- GARNISH, COWL TOP (BLACK) 5PK

3250

0

1

2926

10

1

1428

50

1

708.30

50

1

631

10

1

6

59710M83K00

PANEL, COWL TOP

502 10

1

BALLABGARH

Total Cost : 8539.95

Total

Claimed

Service

Approved Amount Replace Repair Allow

Value

Type

 

 

 

 

3250

3250

Replace

cdefg

cdefg cdefg

 

 

 

 

 

 

2926

2633.40

Replace

cdefg

cdefg cdefg

 

 

 

 

 

 

1428

714

Replace

cdefg

cdefg cdefg

 

 

 

 

 

 

708.30

354.15

Replace

cdefg

cdefg cdefg

 

 

 

 

 

 

631

567.90

Replace

cdefg

cdefg cdefg

 

 

 

 

 

 

502

0

Repair

cdefg

cdefg cdefg

7

 

84512M83K00

 

MOLDING, WINDSHIELD GLASS

493

50

1

493

246.50

 

Replace

8

 

38330M83K00

 

ARM ASSY, WIPER LH

212

10

1

212

190.80

 

Replace

9

 

38310M83K00

 

ARM ASSY, WIPER RH

212

10

1

212

190.80

 

Replace

10

 

38340M83K00

 

BLADE ASSY, WIPER RH

180

50

1

180

90

 

Replace

11

 

38340M83K10

 

BLADE ASSY, WIPER LH

153

50

1

153

76.50

 

Replace

12

 

57410M83K00

 

HINGE, FRONT HOOD RH

136

10

1

136

122.40

 

Replace

13

 

57420M83K00

 

HINGE, FRONT HOOD LH

 

115

 

10

 

1

 

115

 

103.50

 

Replace

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

gfedc gfedc gfedc

gfedc gfedc gfedc

cdefg cdefg cdefg gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc gfedc

cdefg cdefg cdefg

 

 

 

 

Labour Estimation Detail

 

 

 

 

 

Total Cost : 3278.25

S.No.

Part No.

Part Desc

Quantity

SERVICE

Labor

R

Labor

Labor

No.Of

Total

Denting

Denting

Total

Cost /

and

Labor Approved Amount Allow

 

 

 

 

TYPE

Hours

R

Code

Desc

Hours

Hours

Hours

Labor

Cost

 

 

 

 

 

 

 

 

 

 

 

1

84511M83K01

GLASS,

1

Replace

235

No

0

0

3.50

822.50

822.50

WINDSHIELD

 

 

 

 

 

 

 

 

 

 

 

2

57300M83K00

PANEL ASSY,

1

Replace

235

No

0

0

2

470

470

FRONT HOOD

 

 

 

 

 

 

 

 

 

 

 

3

73111M83K00-

PANEL,

 

 

 

 

 

 

 

 

 

INSTRUMENT MAIN 1

Replace

235

No

0

0

3

705

705

 

P4Z

(GRAY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

72330M83K00-

GARNISH, COWL

1

Replace

235

No

0

0

0.50

117.50

117.50

5PK

TOP (BLACK)

 

 

 

 

 

 

 

 

 

 

5

59710M83K00

PANEL, COWL TOP 1

Repair

235

No

0

0

2

470

470

6

38310M83K00

ARM ASSY, WIPER

1

Replace

235

No

0

0

0.50

117.50

117.50

 

 

RH

 

 

 

 

 

 

 

 

 

7

38330M83K00

ARM ASSY, WIPER

1

Replace

235

No

0

0

0.50

117.50

117.50

 

 

LH

 

 

 

 

 

 

 

 

 

BLADE ASSY,

cdefg

cdefg

gfedc

cdefg

gfedc

cdefg gfedc

http://10.52.4.9/Insurance/ClaimProSystem/PrintEstimationNew.aspx?Estimation_ID=E1314805... 11/19/2012

Print Estimation

Page 2 of 3

8

 

38340M83K00

 

WIPER RH

1

 

Replace

235

 

No

0

0

0.50

117.50

117.50

 

 

 

 

 

9

 

38340M83K10

 

BLADE ASSY,

1

 

Replace

235

 

No

0

0

0.50

117.50

117.50

 

 

WIPER LH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

57410M83K00

 

HINGE, FRONT

1

 

Replace

235

 

No

0

0

0.50

117.50

117.50

 

 

HOOD RH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

 

57420M83K00

 

HINGE, FRONT

 

1

 

Replace

 

235

 

No

 

 

0

 

0

 

0.45

 

105.75

 

105.75

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOOD LH

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

gfedc

gfedc

cdefg gfedc

 

 

Paint Estimation Detail

 

 

Total Cost : 4480

S.No.

Description

Sub Model

PRICE Paint %

Paint Type

Total Cost

Approved Amount

Allow

1

PANEL ASSY, FRONT HOOD

 

MARUTI RITZ

2480

100

NM

2480

 

Total No of Discounted Panel

 

1

 

 

Total Discount

 

0

 

 

 

 

 

cdefg

 

S.No.

Description

Total Cost

Approved Amount

Allow

1

 

PANEL, COWL TOP

 

2000

 

 

cdefg

 

 

 

 

 

 

 

 

 

 

Miscellaneous Estimation Detail

 

Total Cost : 1000

S.No.

Description

 

Cost

Approved Amount

 

Allow

1

ac gass

 

1000

 

 

 

cdefg

 

 

 

 

 

 

 

 

 

Total Estimated Cost

: 17298.20

 

 

 

Remarks

 

 

 

 

 

Documents Details :

 

Driving License

RC Scan Copy

Copy of FIR -if any

Copy of affidavit -if any

Claim Form

 

Vehicle Images :

 

Vehicle Photo 1

Vehicle Photo 2

Vehicle Photo 3

Vehicle Photo 4

Vehicle Photo 5

Vehicle Photo 6

Vehicle Photo 7

Vehicle Photo 8

Vehicle Photo 9

Vehicle Photo 10

Vehicle Photo 11

Vehicle Photo 12

Vehicle Photo 13

Vehicle Photo 14

Vehicle Photo 15

 

__________________________

__________________________

Service Adviser Signature

Surveyor Signature

http://10.52.4.9/Insurance/ClaimProSystem/PrintEstimationNew.aspx?Estimation_ID=E1314805... 11/19/2012

Print Estimation

 

 

Page 3 of 3

 

Date : 19/11/2012

 

 

Date : 19/11/2012

 

 

 

 

*Taxes extra as applicable

 

 

 

 

 

 

 

 

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http://10.52.4.9/Insurance/ClaimProSystem/PrintEstimationNew.aspx?Estimation_ID=E1314805... 11/19/2012