1. PRE-INSPECTION REPORT FOR PVT.
CAR
INTIMATOR DETAILS
INSPECTOR ID
INSPECTION DONE BY Customer Self Inspection
LEAD NO. 25107021
INSURED NAME Bhaginath Jagdale
The Vehicle proposed for insurance has been physically inspected at 13 Jan 2025 11:23 Vehicle No.
MH-12-MB-4685
Recommended For Insurance :Yes
Approver Remark : Recommended subject to Exclude of damaged parts mentioned in the report ,
Scratches : Rear Side - rear Bumper,dicky
Front Side - front Bumper
Photo Capture Location : Unable to Fetch the location ( Lat -19.8527017 , Long -74.8090501 )
1.1 VEHICLE DETAILS
VEHICLE DETAILS
VEHICLE NO. MH-12-MB-4685 MAKE MAHINDRA
MODEL SCORPIO | S6 PLUS ENGINE NO. 14050
CHASSIS NO. 37285 VEHICLE TYPE Pvt. Car
ODO METER 137387 Average Mileage 0
1.2 DOCUMENT DETAILS
DOCUMENT DETAILS
PREVIOUS POLICY NO. BREAK IN PERIOD 13
POLICY EXPIRY DATE 31 Dec 2024 FITNESS CERTIFICATE NO.
FITNESS VALID UPTO 01 Jan 1900 PERMIT NO.
PERMIT VALID UPTO 01 Jan 1900 PERMIT TYPE
IRDA of India Registration No. 103
Reliance General Insurance Company Limited
Registered & Corporate Office:6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon
(E), Mumbai- 400063 .
Corporate Identity Number U66603MH2000PLC128300,Insurance is a subject matter of solicitation.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited ISO 9001:2015
and used by Reliance General Insurance Company Limited under License. Certified for Excellence
3. VEHICLE PHOTOS
REAR SIDE OF VEHICLE RIGHT SIDE OF VEHICLE
DICKY PHOTO FOR BI-FUEL KIT
CHASSIS NO
IRDA of India Registration No. 103
Reliance General Insurance Company Limited
Registered & Corporate Office:6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon
(E), Mumbai- 400063 .
Corporate Identity Number U66603MH2000PLC128300,Insurance is a subject matter of solicitation.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited ISO 9001:2015
and used by Reliance General Insurance Company Limited under License. Certified for Excellence
FRONT SIDE OF VEHICLE
ENGINE COMPARTMENT
LEFT SIDE OF VEHICLE ODOMETER READING
IRDA of India Registration No. 103
Reliance General Insurance Company Limited
Registered & Corporate Office:6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon
(E), Mumbai- 400063 .
Corporate Identity Number U66603MH2000PLC128300,Insurance is a subject matter of solicitation.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited ISO 9001:2015
and used by Reliance General Insurance Company Limited under License. Certified for Excellence
Other 3 OTHER
CLOSE SNAP OF DASHBOARD
Other 2
IRDA of India Registration No. 103
Reliance General Insurance Company Limited
Registered & Corporate Office:6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon
(E), Mumbai- 400063 .
Corporate Identity Number U66603MH2000PLC128300,Insurance is a subject matter of solicitation.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited ISO 9001:2015
and used by Reliance General Insurance Company Limited under License. Certified for Excellence
FRONT WINDSCREEN GLASS CLOSE VIEW
It is hereby declared and agreed that all damages mentioned in pre inspection report & as per photographs are excluded from
the scope of this policy
Disclaimer : If any Mis - representation is found in the Pre - Inspection claim intimated to the Company then the said claim
will not be admissible or shall be rejected by the Company.
IRDA of India Registration No. 103
Reliance General Insurance Company Limited
Registered & Corporate Office:6th Floor, Oberoi Commerz, International Business Park, Oberoi Garden City, Off. Western Express Highway, Goregaon
(E), Mumbai- 400063 .
Corporate Identity Number U66603MH2000PLC128300,Insurance is a subject matter of solicitation.
Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited ISO 9001:2015
and used by Reliance General Insurance Company Limited under License. Certified for Excellence
