LiveChek

Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

Case Ref No. 1298456

Company IFFCO TOKIO GI

Branch Iffco Tokio Alwar ( ALW )

Insured Name Manaprit Singh ( 918118808103 )

Insured Address -

Proposer [ C2000329 ] Gaurav Mittal ( 918118808103 )

Requested Date 15/07/2022 17:56

Inspection Date 15/07/2022 18:00

Vehicle Registration Number RJ02UA5639

Inspection Completion Date 15/07/2022 18:06

Vehicle Type Car

Vcs User Suraj Bhan

Vehicle Manufacturer Maruti

Vehicle Model Omni

Vehicle Parts Vehicle Parts
Headlight- Left Intact Back Glass Intact
Headlight- Right Intact Left Tail Lamp Intact
Foglamp- Left Intact Right Tail Lamp Intact
Foglamp- Right Intact Under Carriage Intact
Front Bumper Intact Silencer Intact
Indicator- Left Intact Fuel Tank Intact
Indicator- Right Intact Right Fender Intact
Front Panel Intact Right Quarter Panel Dented
Bonnet Dented Right Piilar( A) Intact
Cowl Intact Right Pillar( B) Intact
Left Apron Intact Right Pillar( C) Intact
Right Apron Intact Right Front Door Dented
Oil Pan Intact Right Rear Door Dented
Floor Intact Right Running Board Intact
Left Fender Intact Right Side Rear View Mirror Intact
Left Front Door Dented Right Front Door Glass Intact
Left Quarter Panel Dented Right Rear Door Glass Intact
Left Pillar( A) Intact Front Windshield Glass Broken
Left Pillar( B) Intact Vehicle Details
Left Pillar( C) Intact Odometer Reading 58767
Left Rear Door Dented Chassis Number 615734
Left Running Board Dented Engine Number 818958
Left Side Rear View Mirror Intact Colour Other
Left Front Door Glass Intact Model Year 2015
Left Rear Door Glass Intact Fuel Type Petrol+LPG
Dickey Dented
Rear Bumper Intact

Client signature
I hereby confirm and declare that above mentioned identification details of my vehicle No. provided as well as that of damage to the vehicle as noted by the inspecting official are
correct. Nothing has been hidden/undisclosert. I further confirm & declare 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/Insured vehicle during the period following the expiry of a previous insurance, till the
moment it is proposed for insurance. I also agree that damages mentioned above shall be excluded in the event of any claim being lodged.

(SIGNATURE)
*Captured on mobile screen
Location : 27.5662208000 , 76.6280822000

QC Remarks
Vehicle details as per RC. Vehicle has Multiple Dents and Scratches. Also Windshield is Broken.
*Please note that if a vehicle body part is marked in the picture, it means it may be dented or scratched even if it is mentioned as intact in the report.
*We some times ask for additional pictures from the Client / Customer through Whatsapp for reference and clarification to remove any doubts. We also try and obtain a videos in many
cases.

LiveChek Pvt. Ltd. Page 1/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

DOCUMENT IMAGES

Part : REGISTRATION CERTIFICATE (FRONT) Date : 15/07/2022 Part : REGISTRATION CERTIFICATE (BACK) Date : 15/07/2022
Location : 27.5662583000 , 76.6279293000 Time : 18:01:08 Location : 27.5661912000 , 76.6280136000 Time : 18:01:13

LiveChek Pvt. Ltd. Page 2/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

VEHICLE IMAGES

Part : FRONT RIGHT CORNER Date : 15/07/2022 Part : FRONT SIDE Date : 15/07/2022
Location : 27.5661576000 , 76.6280427000 Time : 18:01:42 Location : 27.5661600000 , 76.6280298000 Time : 18:01:51

Part : CAR BASE FROM FRONT Date : 15/07/2022 Part : ENGINE IMAGE WITH REGISTRATION PLATE Date : 15/07/2022
Location : 27.5661590000 , 76.6280250000 Time : 18:01:58 Location : 27.5661954000 , 76.6280084000 Time : 18:02:37

Part : CHASIS NO.(EMBOSSED) Date : 15/07/2022 Part : LEFT SIDE Date : 15/07/2022
Location : 27.5661935000 , 76.6280091000 Time : 18:02:40 Location : 27.5661770000 , 76.6279996000 Time : 18:02:55

LiveChek Pvt. Ltd. Page 3/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

VEHICLE IMAGES

Part : BACK LEFT CORNER Date : 15/07/2022 Part : BACK SIDE Date : 15/07/2022
Location : 27.5661935000 , 76.6280381000 Time : 18:03:02 Location : 27.5662015000 , 76.6280560000 Time : 18:03:07

Part : OPEN DICKEY/CNG Date : 15/07/2022 Part : CAR BASE FROM BACK Date : 15/07/2022
Location : 27.5662188000 , 76.6280442000 Time : 18:03:16 Location : 27.5662191000 , 76.6280505000 Time : 18:03:21

Part : RIGHT SIDE Date : 15/07/2022 Part : DASHBOARD Date : 15/07/2022

Location : 27.5662162000 , 76.6280185000 Time : 18:03:34 Location : 27.5662208000 , 76.6280020000 Time : 18:03:41

LiveChek Pvt. Ltd. Page 4/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

VEHICLE IMAGES

Part : ODOMETER Date : 15/07/2022 Part : WINDSHIELD INSIDE FROM RIGHT SIDE Date : 15/07/2022
Location : 27.5662218000 , 76.6279998000 Time : 18:03:47 Location : 27.5662210000 , 76.6280003000 Time : 18:03:51

Part : WINDSHIELD INSIDE FROM LEFT SIDE Date : 15/07/2022 Part : WINDSHIELD FROM OUTSIDE Date : 15/07/2022
Location : 27.5662212000 , 76.6280025000 Time : 18:03:57 Location : 27.5661899000 , 76.6280104000 Time : 18:04:06

LiveChek Pvt. Ltd. Page 5/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

SIGNATURES IMAGES

Part : CLIENT SIGNATURE Date : 15/07/2022

Location : 27.5662208000 , 76.6280822000 Time : 18:05:59

LiveChek Pvt. Ltd. Page 6/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

MARKEDIMAGES IMAGES

Part : MARKED DURING QC Date : 15/07/2022 Part : MARKED DURING QC Date : 15/07/2022
Location : 0.0000000000 , 0.0000000000 Time : 18:09:31 Location : 0.0000000000 , 0.0000000000 Time : 18:09:57

Part : MARKED DURING QC Date : 15/07/2022 Part : MARKED DURING QC Date : 15/07/2022
Location : 0.0000000000 , 0.0000000000 Time : 18:10:06 Location : 0.0000000000 , 0.0000000000 Time : 18:10:22

Part : MARKED DURING QC Date : 15/07/2022

Location : 0.0000000000 , 0.0000000000 Time : 18:10:30

LiveChek Pvt. Ltd. Page 7/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK end New Delhi - 110068
mm
t Reco Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT N o PDF Report Images Zip

Video
video_1657888458965_62d15d04c109aa2c00463dd8.mp4
15/07/2022 | 18:05:11

LiveChek Pvt. Ltd. Page 8/8