CONCEPT BIKES

NEAR AL-UTHUMAN SCHOOL, VETTUROAD,KAZHAKUTTOM, TVM

ESTIMATE
REF NO 1

Customer Name AROMAL VIJAYAN

Phone 8594064646
Accident Date & Time
Vehicle No: Chassis Number Engine Number
KL01CC 460 ME3U3S5C1HE121702 U3S5C1HE039870

Sl. No. Particulars Damage Qty

PARTS
1 FORK PIPE 2
2 HANDLE BAR 1
3 BALL RACE KIT 1
4 T STEM 1
5 WHEEL RIM 1
6 CLUTCH LEVER ASSY 1
7 FRONT MUDGAURD WITH STAY 1
8 BRAKE PEDAL 1
9 FRAME 1
10 HEAD LAMP ASSY 1
11 LH TRAFFICATOR 1
12 BRAKE LEVER 1
13 FRONT DISC 1
14 ADAPTOR PLATE 1
15 MIRROR 2
16 SPEEDO DRIVE 1
17 COVER TUBE 2
18 HEAD LAMP CASING 1
19 SIDE COVER ENGINE 1
20 GEAR LEVER 1
21 LH ARM & SLEEVE 1
22 DAMPER WEIGHT 1
23 CRASH GUARD 1
24 ENGINE CASING 1

Total
GST 28%
 TOTAL
LABOUR
1 LABOUR
Total
GST 18%
TOTAL

GRAND TOTAL

SURVEYOR NAME
WORK APPOVED
SURVEY DATE
SURVEYOR SIGNATURE

NOTE : THIS ESTIMATE IS PREPARED ON THE BASIS OF EXTERNAL VISIBLE BASIS AND ON DISMAN
IF ANY OTHER DAMAGE IS OBSERVED ADDITIONAL-SUPPLIMENTRY ESTIMATE WILL BE FUR
PRICE OF SPARE PARTS IS SUBJECTED TO CHANGE AS PER MANUFACTURE
THE ESTIMATE VALIDITY ONLY THREE MONTHS
THE PAYMENT CASH/DD ONLY
IKES
KAZHAKUTTOM, TVM

Date: 7-Nov-17

Insurance Name
Policy No:-
Model Colour Speedo meter

CLASSIC 350 WHITE ASH

Estimate Amount Assessed Net Amount

2500.00
500.00
650.00
2000.00
1000.00
400.00
2500.00
450.00
10000.00
1200.00
450.00
450.00
2500.00
1500.00
900.00
300.00
1000.00
3600.00
2300.00
300.00
450.00
210.00
2800.00
16000.00

53,960.00
15,108.80
 69,068.80

15,000.00
15,000.00
2,700.00
17,700.00

86,768.80

For CONCEPT BIKES KAZHAKUTTOM

ANAS A
8589024366

ISIBLE BASIS AND ON DISMANTLING

NTRY ESTIMATE WILL BE FURNISHED.
MANUFACTURE

Customer Signature