Printed:28-Apr-2023

Vehicle Repair Order (VRO)

Policy Number:D073382672 | Claim Number:202300301181

V VRO Date 28-Apr-2023 05:13 PM

AUTOMOTIVE MFRS MAHINDRA

Name of Owner: TUHIN TEWARY Engine No.: NNNZF21141 Workshop Name:
ZEEDIMETLA

Registration No.: 22BH3396C Surveyor Name: Workshop Gst Number: 36AAACA3428K1ZS

VRODate of Reg.: 24-Aug-2022 Claim coordinator: Anil V Date of Accident: 27-Apr-2023

MAHINDRA AND
Vehicle Make & Model: Chassis No: MA1NM2NN4N2F80183 Vehicle Age(Years) : 0
MAHINDRA,XUV300

Payment to: Workshop

Please find the below tentative estimation for the subject vehicle as per the visible damages found on the vehicle. Any further replacement / repair of part required during the course of repair shall be verified and
included in the estimation.
We request you to take prior approval from the insurer for all kept open part approval, if any. Please find the below tentative preliminary assessment for the subject vehicle. Any further replacement / repair of part
required during the course of repair shall be verified and included in the assessment subject to admissibility of the claim. We request you to take prior approval from the insurer for all parts put on hold and are
pending for approval.

Important Notes:
• This Vehicle Repair Order is issued based on our preliminary inspection/survey of your vehicle.
• Please note that this is not an approval of your claim or an admission of our liability.
• The final approval is when we issue a Vehicle Delivery Order after completely reviewing your documents and claim is found to be admissible as per policy terms and conditions.
• After completion of repairs,you shall submit the vehicle for reinspection and also produce the salvage of parts replaced.
• Please have the final tax invoice raised in favour of Go Digit Insurance Limited up to the Insurer liability and remaining balance be invoiced in favour of the Insured.

For any further clarification(s) regarding your claim, please feel free to reach out to Anil V at 9986383232 or anil.v@godigit.com. Alternatively, you can call our call centre toll free number 1800-258-5956.

PARTS

TAXABLE TAX TOTAL DEP R&R REPAIR PAINTING

S.NO JOB MATERIAL DESCRIPTION HSN QTY. RATE TAX (%) DEP.(%)
AMOUNT AMOUNT AMOUNT AMOUNT CHARGES CHARGES CHARGES

FASCIA LOWER RH -
1 Replace Plastic 456546 1.0 ₹ 147.0 ₹ 147.0 28.0 ₹ 41.16 ₹ 188.16 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
FRONT BUMPER

BUMPER ASSY FRONT

2 Repair Plastic 0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 0.0 0.0 ₹ 0.0 ₹ 300.0 ₹ 0.0 ₹ 3040.0
COMP FRT BASE

BEZEL FOG LP RH - FRT

3 Replace Plastic 85122090 1.0 ₹ 221.0 ₹ 221.0 18.0 ₹ 39.78 ₹ 260.78 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0
BMPR

4 Replace Plastic FOG LAMP ASSY RH 87089900 1.0 ₹ 1094.0 ₹ 1094.0 18.0 ₹ 196.92 ₹ 1290.92 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0 ₹ 0.0

Sub Total ` 1462.0 ` 277.86 ` 1739.86 ` 0.0 ` 300.0 ` 0.0 ` 3040.0

LABOUR TYPE TAXABLE AMOUNT TAX AMOUNT TOTAL AMOUNT DEP AMOUNT

Remove & Refittng ` 300.0 ` 54.0 ` 354.0 ` 0.0

Repair ` 0.0 ` 0.0 ` 0.0 ` 0.0

Paint Material ` 760.0 ` 136.8 ` 896.8 ` 0.0

Paint Labour ` 2280.0 ` 410.4 ` 2690.4 ` 0.0

Total ` 3941.2

FINAL CALCULATION AMOUNT (`)

Total Liability ` 5681.06

Compulsary Deductible ` 1000.0

Voluntary Deductible ` 0.0

Salvage Deductions ` 0.0

Non Standard Amount ` 0.0

Towing Amount `0

Customer Liability ( Applicable only for the approved Parts, Labour and Paint) ` 1000.0

Digit Liability ` 4681.06

ASSESSMENT NOTES

1. We request you to inform our Claim Coordinator or Surveyor for intermediary inspection after dismantling of the vehicle.

2. We request you to take prior approval for any additional parts or labour in addition to the above assessment before commencement of repairs.

3. Please share the pre-invoice and/ or Final invoice at claim.approval@godigit.com.