Format No.

: G-01-02-11
PATEL MOTORS (INDORE) PVT LTD
AHMEDABAD ROAD,
MEGH NAGAR NAKA,
JHABUA,
JHABUA
Pin:457661

DEALER CODE: AAR1 FOR-OUTLET CODE: AAR - 01 DATE: 05/05/2023

To
Department Head (Warranty & Extended Warranty Administration)

Ref.: Warranty claim nos. W2300003 to W2300003 for repairs from 01-APR-23 to 05-MAY-23

With reference to the above, please find the following documents:

(1) Original consignee copy of GR No. ................................. dated ............................. for ............................. no. of boxes
and .................... loose items.
(2) Warranty application form duly signed by Works Manager.
(3) Supporting papers as detailed below:

Sl. No. Claim No. Details of supporting documents attached

Parameter Total 2nd Year

Total claim cost 1,754.18 1,754.18
No. of warranty claims 1 1
No. of vehicles on which claim raised 1 1
Claim ratio (No. of claims / No. of vehicles in warranty in the period) 0.01 0.01
Claim ratio (No. of claims / No. of vehicles billed in the period) 0.00 0.00
Cost per claim 1,754.18 1,754.18

Thanking you,

(NAME & SIGNATURE OF WORKS MANAGER)

Dear Works Manager,

Please fill up all the blanks and complete the information in this letter in all respect. Check before signing and
confirm dispatch of all claims as per MSIL policy. Please write your name in capital letters.