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Customer Name Kanjariya Jagdish Ranamal (30028521)

Tel 9427943363, 8200689068
Email jagdish.kanjariya@adani.com, kanjariyajagdish4@
Company Name(Adani Group) MLTPL
Designation (GRADE) Asst. Manager (O3)

Origin Address 51, Shreeji nagar, Near Suruchi School, Rokadiya Hanuma, P
Origin Floor Ground and First Floor
Is Lift Available at Origin Not Available

Destination Address B-23/8, Samundra Township, Mundra-370421

Desination Floor First Floor
Is Lift Available at Destination Not Available

Preferred Date of Packing 16-02-2019

Preferred Date of Moving 16-02-2019

Preferred Date of Delivery 17-02-2019

Articles to be Moved
Item Qty Value Qty
Sofa: 1 Seater 0 TV - Portable 0
Sofa: 2 Seater 0 TV - 21" 0
Sofa: 3 Seater 0 TV - 29" 0
Centre Table 0 TV LCD / Plasma 0
Side Table 0 TV Trolley 0
Dining table - 4 Seater 0 TV Cabinet 0
Dining table - 8 Seater 0 Fridge - Regular 1
Dinning Chair 0 Fridge - Large 0
Table 1 100 Washing M/c 0
Chair 2 500 Dryer 0
Single Cot 1 1000 Dishwasher 0
Single Mattress 1 400 Music System 0
Double Cot 1 10000 Home Theatre
Double Mattress 1 5000 VCR/VCD/DVD
Baby Cot 0 Computer 0
Deewan 0 Microwave 0
Dressing table 0 OTG 0
Small Cupboard 0 Cooking Range 1
Large Cupboard 1 3500 Gas Stove 1
Show case - 5 Feet 0 Cylinder see not
Book Rack 0 Grinder 1
Shoe Rack 0 Water Filter 1
Side Board 0 A/c 0
Chest of Draw 0 Cooler 0
Wooden Chest 1 500 Battery
 Other Articles to be Moved
Item Qty Value Item Qty
Grain + Storage Container 1 3000
Books and Staitonery 25 3000

Vehicles
Make TVS-JUPITER
Make
Make
Important Information
Do you require Storage
Should any items be got down through balcony etc.
Is there easy access for loading and unloading at origin and destination

Are there any time restrictions for loading / unloading at origin or destination
Are there any items which are difficult to handle
Should goods be collected from more than 1 location
Should goods be delivered to more than 1 location
Does you have any special needs or concerns
* Glass Jars and other small glass item

Empty or Full Gas Cylinders cannot be carrierd as it is a dangerous item and

Important Note same. Insurance for goods will be void if cylinders are carr
 iya Jagdish Ranamal (30028521) *
9427943363, 8200689068 *
@adani.com, kanjariyajagdish4@gmail.com *
MLTPL *
Asst. Manager (O3) *

uruchi School, Rokadiya Hanuma, Porbandar-360575 *

Ground and First Floor *
Not Available *

amundra Township, Mundra-370421 *

First Floor *
Not Available *
16-02-2019 *
16-02-2019 *
17-02-2019 *
ved
Value Qty Value
Battery 0
Suitcases 4 2000
Trunks 0
Pram 0
Small Pots 2 150
Medium Pots 1
15000 Large Pots 0
Iron Board 0
Ladder 0
Ex- Cycle 0
Tread Mill 0
Cycle 0
Mirrors 1 100
Pictures 0
Small Carpet 2 1000
Big Carpet 0
Baby Car and cycle 0
10000 Fish Tank 0
1500 Quilt 14 3000
Barbeque Small 0
2000 Barbeque Big 0
4500 Carton 18" x 18" x 10" 0
Carton 18" x 18" x 20" 0
Carton 18" x 18" x 30" 0
Motor Bike 1 50000
Moved
Value Item Qty Value

TVS-JUPITER

ation

No
Yes

No
No
No
No
eds or concerns

d as it is a dangerous item and we do not have a licence to carry the

will be void if cylinders are carried in same vehicle.