Printed:02-Jan-2025

Vehicle Delivery Order (VDO)

Policy Number:D146477665 | Claim Number:202401179639

VDO Date: 02-Jan-2025 11:55 AM

V
BATHULA GNANESWARA
Name of Owner: Engine No.: EG5DN1306531 Workshop Name: ADHVIKA VOC 2W SINGASANDRA
GANGADHARA GUPTA

Registration No.: KA51HU1642 Surveyor Name: Workshop Gst Number: 29FNTPS0023Q1Z2

VDODate of Reg.: 17-Jun-2022 Claim coordinator: Akash Gupta Date of Accident: 15-Oct-2024

Vehicle Make & Model: TVS,JUPITER Chassis No: UNKNOWN Vehicle Age(Years) : 2

Payment to: Workshop

Please find the below tentative estimation for the subject vehicle as per the visible damages found on the vehicle. Any further replacement / repair of part required during the course of repair shall be verified and
included in the estimation.
We request you to take prior approval from the insurer for all kept open part approval, if any. Please find the below tentative preliminary assessment for the subject vehicle. Any further replacement / repair of part
required during the course of repair shall be verified and included in the assessment subject to admissibility of the claim. We request you to take prior approval from the insurer for all parts put on hold and are
pending for approval.

Important Notes:
• After completion of repairs,you shall submit the vehicle for reinspection and also produce the salvage of parts replaced.
• Please have the final tax invoice raised in favour of Go Digit Insurance Limited up to the Insurer liability and remaining balance be invoiced in favour of the Insured.

For any further clarification(s) regarding your claim, please feel free to reach out to at 9766684596 or [email protected]. Alternatively, you can call our call centre toll free number 1800-258-5956.

PARTS

TAXABLE TAX TOTAL DEP R&R REPAIR PAINTING

S.NO JOB MATERIAL DESCRIPTION HSN QTY. RATE TAX (%) DEP.(%)
AMOUNT AMOUNT AMOUNT AMOUNT CHARGES CHARGES CHARGES

SIDE TRIM FLOOR R

1 Replace Plastic 8714 1.0 ₹ 442.97 ₹ 442.97 28.0 ₹ 124.03 ₹ 567.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
WALNUT BROWN

2 Replace Plastic HANDLE COVER FR 8714 1.0 ₹ 654.69 ₹ 654.69 28.0 ₹ 183.31 ₹ 838.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

Remove-
3 Plastic LABOUR 0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 650.0 ₹ 0.0 ₹ 0.0
Refitting

PANEL FR TOP TAPESET

4 Replace Plastic 8714 1.0 ₹ 1288.28 ₹ 1288.28 28.0 ₹ 360.72 ₹ 1649.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
COPPER BRONZE

HOUSING HEADLAMP
5 Replace Plastic 8714 1.0 ₹ 1157.03 ₹ 1157.03 28.0 ₹ 323.97 ₹ 1481.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
FRONT WALNUT BROWN

PANEL RR SUB ASSY

6 Replace Plastic 87141090 1.0 ₹ 799.22 ₹ 799.22 28.0 ₹ 223.78 ₹ 1023.0 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
SIL.OAK

Sub Total ` 4342.19 ` 1215.81 ` 5558.0 ` 0.0 ` 650.0 ` 0.0 ` 0.0

LABOUR TYPE TAXABLE AMOUNT TAX AMOUNT TOTAL AMOUNT DEP AMOUNT

Remove & Refittng ` 650.0 ` 117.0 ` 767.0 ` 0.0

Repair ` 0.0 ` 0.0 ` 0.0 ` 0.0

Paint Material ` 0.0 ` 0.0 ` 0.0 ` 0.0

Paint Labour ` 0.0 ` 0.0 ` 0.0 ` 0.0

Total ` 767.0

FINAL CALCULATION AMOUNT (`)

Total Liability ` 6325.0

Compulsary Deductible ` 100.0

Voluntary Deductible ` 0.0

Salvage Deductions ` 100.0

Non Standard Amount ` 0.0

Towing Amount `0

Digit Liability ` 6125.0

ASSESSMENT NOTES

1. Any additional amount over and above the approved assessment, shall be borne by the Insured.

2. The final liability has been arrived as full and final settlement after consent from the Insured. Do get back to us within the next 24 hours for any queries or clarification(s).