LiveChek

Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

Case Ref No. D1300053

Company Demo Account

Branch -

Insured Name Demo ( 919874561230 )

Insured Address Demo

Proposer [ Demo ] Nilesh Chandrakar ( 918016897631 )

Requested Date 22/06/2022 13:01

Inspection Date 22/06/2022 13:01

Vehicle Registration Number GJ12HJ6788

Inspection Completion Date 22/06/2022 13:03

Vehicle Type Car

Vcs User Nilesh Chandrakar

Vehicle Parts Vehicle Parts

Headlight- Left Intact Dickey Intact
Headlight- Right Intact Rear Bumper Intact
Foglamp- Left Intact Back Glass Intact
Foglamp- Right Intact Left Tail Lamp Intact
Front Bumper Intact Right Tail Lamp Intact
Indicator- Left Intact Under Carriage Intact
Indicator- Right Intact Silencer Intact
Front Panel Intact Fuel Tank Intact
Bonnet Intact Right Fender Intact
Cowl Intact Right Quarter Panel Intact
Left Apron Intact Right Piilar( A) Intact
Right Apron Intact Right Pillar( B) Intact
Oil Pan Intact Right Pillar( C) Intact
Floor Intact Right Front Door Intact
Left Fender Intact Right Rear Door Intact
Left Front Door Intact Right Running Board Intact
Left Quarter Panel Intact Right Side Rear View Mirror Intact
Left Pillar( A) Intact Right Front Door Glass Intact
Left Pillar( B) Intact Right Rear Door Glass Intact
Left Pillar( C) Intact Front Windshield Glass Intact
Left Rear Door Intact Vehicle Details
Left Running Board Intact Odometer Reading 123
Left Side Rear View Mirror Intact Chassis Number Qweetyu
Left Front Door Glass Intact Engine Number Qqtqyy
Left Rear Door Glass 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 : 28.5544441000 , 77.2482141000

QC Remarks
Vehicle details are as per RC .
*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 1/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

DOCUMENT IMAGES

Part : REGISTRATION CERTIFICATE (FRONT) Date : 22/06/2022 Part : REGISTRATION CERTIFICATE (BACK) Date : 22/06/2022
Location : 28.5544424000 , 77.2481815000 Time : 13:01:45 Location : 28.5544459000 , 77.2481825000 Time : 13:01:47

LiveChek Pvt. Ltd. Page 2/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : FRONT RIGHT CORNER Date : 22/06/2022 Part : FRONT SIDE Date : 22/06/2022
Location : 28.5544517000 , 77.2482251000 Time : 13:01:50 Location : 28.5544467000 , 77.2482128000 Time : 13:01:52

Part : CAR BASE FROM FRONT Date : 22/06/2022 Part : ENGINE IMAGE WITH REGISTRATION PLATE Date : 22/06/2022
Location : 28.5544439000 , 77.2482062000 Time : 13:01:54 Location : 28.5544433000 , 77.2482051000 Time : 13:01:55

Part : CHASIS NO.(EMBOSSED) Date : 22/06/2022 Part : LEFT SIDE Date : 22/06/2022
Location : 28.5544435000 , 77.2482053000 Time : 13:01:57 Location : 28.5544354000 , 77.2481515000 Time : 13:01:59

LiveChek Pvt. Ltd. Page 3/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : BACK LEFT CORNER Date : 22/06/2022 Part : BACK SIDE Date : 22/06/2022
Location : 28.5544300000 , 77.2481281000 Time : 13:02:02 Location : 28.5544286000 , 77.2481233000 Time : 13:02:04

Part : OPEN DICKEY/CNG Date : 22/06/2022 Part : CAR BASE FROM BACK Date : 22/06/2022
Location : 28.5544293000 , 77.2481266000 Time : 13:02:06 Location : 28.5544298000 , 77.2481292000 Time : 13:02:08

Part : RIGHT SIDE Date : 22/06/2022 Part : DASHBOARD Date : 22/06/2022

Location : 28.5544214000 , 77.2480987000 Time : 13:02:10 Location : 28.5546153000 , 77.2480749000 Time : 13:02:12

LiveChek Pvt. Ltd. Page 4/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

VEHICLE IMAGES

Part : ODOMETER Date : 22/06/2022 Part : WINDSHIELD INSIDE FROM RIGHT SIDE Date : 22/06/2022
Location : 28.5546091000 , 77.2480773000 Time : 13:02:15 Location : 28.5545428000 , 77.2480839000 Time : 13:02:17

Part : WINDSHIELD INSIDE FROM LEFT SIDE Date : 22/06/2022 Part : WINDSHIELD FROM OUTSIDE Date : 22/06/2022
Location : 28.5545217000 , 77.2480995000 Time : 13:02:19 Location : 28.5544977000 , 77.2480884000 Time : 13:02:21

LiveChek Pvt. Ltd. Page 5/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

IMPACT IMAGES

Part : DAMAGED PARTS Date : 22/06/2022

Location : 28.5544624000 , 77.2480717000 Time : 13:02:24

LiveChek Pvt. Ltd. Page 6/7

 LiveChek Private Limited
W-101-E, Lane 6, Anupam Gardens
LIVECHEK d New Delhi - 110068
om m en Tel : (011) 46015666, 46025666
Rec
VEHICLE INSPECTION REPORT PDF Report Images Zip

SIGNATURES IMAGES

Part : CLIENT SIGNATURE Date : 22/06/2022

Location : 28.5544441000 , 77.2482141000 Time : 13:02:47

LiveChek Pvt. Ltd. Page 7/7