LiveChek

Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

Case Ref No. FUTU-2J-1657285902911-917

Company FUTURE GENERALI INSURANCE

Branch FUTURE GENERALI ANDHERI ( 2J )

User Jainam ( 917801883393 )

User Address -

App User [ 60046470 ] Turtlemint - Santosh Jadyar (

917249873252 )

Requested Date 08/07/2022 18:41

Inspection Date 09/07/2022 11:31

Inspection Completion 09/07/2022 12:21

Date
Vehicle Registration GJ21AQ0391
Vcs User Amardeep Kumar
Number
Vehicle Type Car
Vehicle Parts Vehicle Parts
Vehicle Manufacturer Maruti
Headlight- Left Intact Back Glass Intact
Headlight- Right Intact Left Tail Lamp Intact Vehicle Model Wagon R
Foglamp- Left Intact Right Tail Lamp Intact
BreakinId 2J-LCP-080722-
Foglamp- Right Intact Under Carriage Intact
900620
Front Bumper Intact Silencer Intact
Indicator- Left Intact Fuel Tank Intact
Indicator- Right Intact Right Fender Intact
Front Panel Intact Right Quarter Panel Intact
Bonnet Intact Right Piilar( A) Intact
Cowl Intact Right Pillar( B) Intact
Left Apron Intact Right Pillar( C) Intact
Right Apron Intact Right Front Door Intact
Oil Pan Intact Right Rear Door Intact
Floor Intact Right Running Board Intact
Left Fender Intact Right Side Rear View Mirror Intact
Left Front Door Intact Right Front Door Glass Intact
Left Quarter Panel Intact Right Rear Door Glass Intact
Left Pillar( A) Intact Front Windshield Glass Intact
Left Pillar( B) Intact Vehicle Details
Left Pillar( C) Intact Odometer Reading 62412
Left Rear Door Intact Chassis Number 700742
Left Running Board Intact Engine Number 335669
Left Side Rear View Mirror Intact Colour White
Left Front Door Glass Intact Model Year 2014
Left Rear Door Glass Intact Fuel Type Petrol/Cng
Dickey Intact
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 : 21.1738435000 , 72.9653197000

QC Remarks
Vehicle details as per RC. Engine Malfunction sign appearing. windshield glass not verified due to rain.
*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.

LiveChek Pvt. Ltd. Page 1/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

*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.

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 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

DOCUMENT IMAGES

Part : REGISTRATION CERTIFICATE FRONT Date : 09/07/2022 Part : REGISTRATION CERTIFICATE BACK Date : 09/07/2022
Location : 21.1739129000 , 72.9653649000 Time : 12:08:00 Location : 21.1739131000 , 72.9653653000 Time : 12:08:07

LiveChek Pvt. Ltd. Page 3/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : FRONT RIGHT CORNER Date : 09/07/2022 Part : FRONT SIDE Date : 09/07/2022
Location : 21.1739151000 , 72.9653485000 Time : 12:08:29 Location : 21.1739003000 , 72.9653403000 Time : 12:08:37

Part : ENGINE WITH REGISTRATION PLATE Date : 09/07/2022 Part : CAR BASE FROM FRONT Date : 09/07/2022
Location : 21.1738488000 , 72.9653236000 Time : 12:08:59 Location : 21.1738501000 , 72.9653243000 Time : 12:09:10

Part : CHASIS NO.(EMBOSSED) Date : 09/07/2022 Part : FRONT LEFT CORNER Date : 09/07/2022
Location : 21.1738615000 , 72.9653309000 Time : 12:09:22 Location : 21.1738715000 , 72.9653302000 Time : 12:10:15

LiveChek Pvt. Ltd. Page 4/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : LEFT SIDE Date : 09/07/2022 Part : BACK LEFT CORNER Date : 09/07/2022
Location : 21.1738708000 , 72.9653630000 Time : 12:10:27 Location : 21.1738618000 , 72.9654096000 Time : 12:10:39

Part : BACK SIDE Date : 09/07/2022 Part : OPEN DICKEY/CNG Date : 09/07/2022
Location : 21.1738597000 , 72.9654018000 Time : 12:10:48 Location : 21.1739020000 , 72.9653971000 Time : 12:11:09

Part : CAR BASE FROM BACK Date : 09/07/2022 Part : BACK RIGHT CORNER Date : 09/07/2022
Location : 21.1739020000 , 72.9653967000 Time : 12:11:20 Location : 21.1738816000 , 72.9653936000 Time : 12:13:01

LiveChek Pvt. Ltd. Page 5/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : RIGHT SIDE Date : 09/07/2022 Part : DASHBOARD Date : 09/07/2022

Location : 21.1739116000 , 72.9653684000 Time : 12:13:13 Location : 21.1738932000 , 72.9653683000 Time : 12:13:42

Part : ODOMETER READING ABOVE 0 RPM Date : 09/07/2022 Part : WINDSHIELD INSIDE Date : 09/07/2022
Location : 21.1738657000 , 72.9653702000 Time : 12:14:03 Location : 21.1738669000 , 72.9653618000 Time : 12:14:40

Part : WINDSHIELD OUTSIDE Date : 09/07/2022 Part : CAR ROOF TOP Date : 09/07/2022
Location : 21.1738777000 , 72.9653456000 Time : 12:15:07 Location : 21.1738716000 , 72.9653328000 Time : 12:15:57

LiveChek Pvt. Ltd. Page 6/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

SIGNATURES IMAGES

Part : CLIENT SIGNATURE Date : 09/07/2022

Location : 21.1738435000 , 72.9653197000 Time : 12:20:51

LiveChek Pvt. Ltd. Page 7/8

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK /W New Delhi - 110068
r to U
Refe
Tel : (011) 46015666, 46025666
VEHICLE INSPECTION REPORT PDF Report Images Zip

OTHERDOC IMAGES

Part : REFERENCE-PICTURE Date : 09/07/2022

Location : 28.5623635000 , 77.2230730000 Time : 13:43:31

Video
video_1657349192091_62c82d0e78eae40df1646e17.mp4 09/07/2022
| 12:17:30 VCS Video Upload 09/07/2022 | 13:43:49

LiveChek Pvt. Ltd. Page 8/8