Inspeection Report

The vehicle inspection report for a TATA LPT1613 truck, registered to Churmali Shokat, was conducted by Adroit Inspection Services on April 26, 2025. The vehicle has a mileage of 169,762 km and shows some scratches on the body but is generally in good condition with all major components intact. The report includes a declaration by the customer confirming the vehicle's condition and that no undisclosed damages exist.

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Inspeection Report

Uploaded by

Ramesh Gupta

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VEHICLE INSPECTION REPORT Download & Share

Company: Reliance General Insurance Co. Ltd. LAN/Reference No: 25159192

Case ID: RE.0425.82990 Branch: Baroda Created At: 25-04-2025 17:21:06

Service: Inspection Requester: agent Service Time: 26-04-2025 10:36:39
Service By: BARODA KEVAL Serviced At: jarat Panchmahal GODHRA ,GODHRA ,PANCH MAHALS ,GUJARAT 389001

VEHICLE DETAILS
Format No. 12345 Make TATA
Reg .Owner name CHURMALI SHOKAT Model LPT1613
Vehicle Registration No. GJ17XX7811 Variant NA
Chassis No. MAT373033G1C07708 Fuel Used Diesel
Engine No. ********* Vehicle Color N/P
Vehicle Type Truck Document Not Verified
Manufacturing Year 2016
Meter Reading (In KM) 169762

FRONT Right Door Intact Wheel Rims Intact

Cowl Intact GLASSES ADROIT REMARKS
Bonnet Intact
Bumper/Mudguard Scratch
Front W/S Glass Intact
Report Status Recommended
Window Glass LT Intact
Cabin(Steel/Wooden) Average Window Glass RT Intact Status Remark VEHICLE IS GCV
Head Light LT Intact Back W/S Glass Intact
Head Light RT Intact
Indicator Front RT Intact
METER
Odometer Type Electric
Indicator Front LT Intact
Odometer Working
LEFT HAND SIDE Battery Available
Left Body Scratch
Left Door Intact
BODY/EXTERIOR
Body(Steel/Wooden) Intact
REAR Seat Good
Rear Body Scratch Fuel/Tank Intact
Indicator Rear LT Intact Loader No
Indicator Rear RT Intact Silencer Intact
RIGHT HAND SIDE TYRES & WHEELS
Right Body Scratch Tyre Average

DECLARATION BY CUSTOMER
I/We hereby declare, confirm and agree that:- The Motor vehicle proposed for insurance after a break in cover has not met with any accident giving rise to any
claim by a Third Party for injury or death caused to any person or damages to any property. I have presented the same vehicle for pre-insurance inspection, which I
have proposed for insurance. Identification details noted/photographs taken by the inspecting officials are correct. If later on, at any time it is found that inspected
vehicle and damaged/accidental vehicles are different then neither any claim nor any indemnity in respect of either own damage or third party death or injury or
property damage loss nor any benefit shall be available to me/us. Vehicle has been visually inspected in my/ our presence. No damage or no fact which is material
to acceptance of this proposal has been hidden/ undisclosed/ withheld by me/us. Damages of vehicle as noted/photographs taken by the inspecting officials are
correct. I/We also agree that damages mentioned as per inspection photographs/video shall be excluded in the event of any claim being lodged during the policy
period. Customer Signature

Disclaimer:....
This is a computer generated report and need not required any signature.
Our responsibility is limited to proven negligence.
Damages mentioned in this report or seen in photographs are not admissible in the event of any claim lodged.
Authorized Signatory
This report shall be verified by QR code. Adroit is not responsible for any manipulation or tempering on report. License Number:
This report is valid for one year from the date of issue. IRDA/IND/SLA-33606