Sukhram Invoice

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RETAIL INVOICE

Dealer Code : IN35EE913


Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)
Workshop Address :
GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________
Invoice Number : DIEV24000025 Date : 30/04/2024 Color : GLOSSY BLUE RAL-5012
Chassis Number : MBX0009TF3D401424 Motor Number : 2404S001528 Hypothetication By: JAGRAWAL CREDITS PVT LTD
Battery Number/s : -
PowerPack Number : -
Battery Charger Number :A1D0115Y104650
Customer Name and Address with GST No. if present :SUKHRAM SINGH
S/O OMKAR SINGH, CHOTPUR COLOANY, SECTOR-63 NOIDA, GAUTAM BUDDHA NAGAR
UTTAR PRADESH 201301
GST No.: not present
Telephone : Mobile : 8979765067 Email : SUKHRAM@GMAIL.COM

Consignee Name : Consignee Contact Number :


Consignee Address : Consignee Email :
Consignee Pin : Consignee GST Number :

Sr. No. Vehicle Part Vehicle Description. HSN Code Item Unit Price Discount Net Amount
Number Quantity (% / Amt.)
1 DCFA0HM010 Price of One 'Ape E-CITY FX NE MAX', 87038040 (5%) 1 380,197.00 0.00% 380,197.00
3W Electric (With Spare wheel, Rim,
Complete Toolkit,
Free Service Coupon cum warranty
certificate, Operation & Maintenance
Book, Set of keys, Battery and
Warranty Card etc.)
Total 380,197.00

Sr. No. Tax Description Rate Amount


1 IGST-5 +5% 19,009.85
Total 19,009.85

EMPS Subsidy Amount 40000


Grand Total 359,206.85
Round Off 0.15
Net Amount 359,207.00
In Words: RUPEES THREE LAKH FIFTY NINE THOUSAND TWO HUNDRED SEVEN ONLY

For E NEXT MOBILITY PVT LTD

Authorized Signatory

Piaggio Helpline Number : 1800 120 7520


This Vehicle is covered in Warranty period upto 36 months from the date of sale.
Terms and Conditions apply. Please get your vehicle serviced regularly as per maintenance
schedule to avail benefit of 36 months warranty.
Your First Service Due on : 29.07.2024

The user declares that PVPL is hereby given sole entitlement to the environmental attributes or any other similar benefits
generated by the vehicles over its entire lifespan.
Dealer Code : IN35EE913
Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)

GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________
FORM NO. 21
[See Rules 47 (c) and (d)]
SALE CERTIFICATE

(To be issued by manufacturer/dealer or Officer of Defence (Incase of Military auctioned vehicles) for presentation along with the application
Department for Registration of a motor Vehicle).
TO,
THE REGIONAL TRANSPORT OFFICER NO. DIEV24000025
Date 30/04/2024
Certified that APE Three Wheeler L.T.V./A/R Cab
Has been Delivered by us to ........................................ on Date 30/04/2024
Name of the Buyer SUKHRAM SINGH
Son / Wife / Daughter of SUKHRAM SINGH
Address S/O OMKAR SINGH, CHOTPUR COLOANY, SECTOR-63 NOIDA, GAUTAM
BUDDHA NAGAR UTTAR PRADESH

The Vehicle is held under agreement of Hire JAGRAWAL CREDITS PVT LTD
purchase / Lease Hypothecation
The Details of the Vehicles are given below:
----------------------------------------------------------------------------- ------------------------------------------------------------------------------------
1. Class Of Vehicle L5M
2. Makers Name: PIAGGIO VEHICLES PRIVATE LIMITED
3. Chassis Number: MBX0009TF3D401424
4. Motor Number: 2404S001528
5. Motor Power
6. Fuel Used Electric
7. No. Of Cylinders NOT APPLICABLE
8. Month & Year Of Manufacture April 2024
9. Seating Capacity(including Driver) D+3
10.Unladen Weight 431
11.Maximum Axle Weight and Number
a) Front Axle 173
b) Rear Axle 558
c) Any Other Axle 0
d) Tandem Axle 0
12.Colour or Colours of the Body GLOSSY BLUE RAL-5012
13.Gross Vehicle Weight 731
14.Type Of Body Bolted on Chassis
15.Bharat Stage Not Applicable

Authorized Signatory
Dealer Code : IN35EE913
Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)
Workshop Address :
GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________
FORM 22
{See rules 47(1) (g)}
Road Worthness Certificate
For Compliance of Emission and Noise Standards
(To be issued by the manufacturer or Importer Registered Association in case of E-rickshaw or E-Cart along
with the Vehicle)
It is certified that the following vehicle complies with the provision of the Act 1988 and the rules made there
under

1. Model/Commercial name of the Vehicle : Ape E-CITY FX NE MAX GLOSSY BLUE RAL-5012
2. Chassis Number : MBX0009TF3D401424
(Example : Vehicle Identification number (VIN or ATIN or PIN / Trailer identification number Etc.) )
3. Engine No. (Motor number in case of battery operated vehicle) : 2404S001528
4. Applicable Emission norms : Not Applicable
(Example : BharatStage -IV/VI/TERM III as permitted under the Act, select NA for Battery -Operated Vehicles)
5. Emission, sound for horn and pass by noise values of the above vehicle model,obtained during type Approval testing as per Central Motor
Vehiclde Rules,1989 are given below:
i. Type of Approval certificatee number : A A R B 0347 F01
ii. Type of fuel : Electric
(Example : Diesel/Petrol/CNG/ LPG/DUAL/BI FUEL/HYVBRID etc.)
iii. Emission value of the vehicle :
Sr. No. Pollutant Unit Value
(as applicable) (Upto 3 decimal places)
1 Carbon Monoxide (CO) mg/km NA
2 Hydro Carbon mg/km NA

3 Non Methane HydroCarbon (NMHC) mg/km NA

4 Oxides of Nitrogen (NOx) mg/km NA


5a HC+NOx mg/km NA

5b THC+NOx mg/km NA
6 Methane (CH4) mg/km NA
7 Ammonia (NH3) mg/km NA
8 Mass of particulate Matter (PM) mg/km NA
9 Number of particles (PN) mg/km NA

iv. Noise level (as applicable) :

a) Horn (for all vehicle other than agricultural tractors and construction equipment vehicles) as installed on vehicle (up to 1 decimal place) :
NA dB (A)
b) Pass by or Bystander's position : 60 dB (A)
c) Driver perceived or Operator's ear level (as applicable for agriculture tractor and construction equipment vehicles ) : NA dB(A)

PIAGGIO VEHICLES PRIVATE LIMITED


CIN - U34102MH1998PTC113606
For PIAGGIO VEHICLES PVT LTD
Regd. Office & works : E-2/F-1, MIDC AREA
BARAMATI -413133 DIST PUNE
Maharashtra, India
Phone: (91-2112) 304200
Fax No.: (91-2112) 243772 (Authorized Signatory)
www.piaggio.co.in, corporate@piaggio.co.in
(Facsimile signature of manufacturer or Importer or Registered Association, in case of E-rickshaw or E-cart)
Dealer Code : IN35EE913
Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)
Workshop Address :
GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________

MOTOR VEHICLES
( First Schedule Form )
FORM 'F'
(See Section 36(i))

Documents to be furnished by the Maker or Authorised Assembler in the case of Transport Vehicles, other than cabs.
CERTIFIED THAT Ape E-CITY FX NE MAX.
Chassis Number MBX0009TF3D401424 and Engine Number 2404S001528

is designed for maximum weights as follows when fitted with Tyre equipment specified below :-

Maximum Laden Weight 431 Kgs

Maximum Permissible Weight (Front Axle) 173 Kgs

Maximum Permissible Weight (Rear Axle) 558 Kgs

( vehicle is of 3/4 Wheel Construction)

Maximum Weight of other Axle


Tyres : Front Wheel 120/80 R12

Rear Wheel 120/80 R12

PIAGGIO VEHICLES PRIVATE LIMITED


For PIAGGIO VEHICLES PVT LTD
CIN - U34102MH1998PTC113606
Regd. Office & works : E-2/F-1, MIDC AREA
BARAMATI -413133 DIST PUNE
Maharashtra, India
Phone: (91-2112) 304200
Fax No.: (91-2112) 243772 (Authorized Signatory)
www.piaggio.co.in, corporate@piaggio.co.in
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-----
GATE PASS
Vehicle Model Ape E-CITY FX NE MAX Color GLOSSY BLUE
RAL-5012
Chassis Number MBX0009TF3D401424 Motor Number 2404S001528
Customer Name SUKHRAM SINGH Dealer Invoice Date 30/04/2024
Time 00:00

Signature,
Dealer Code : IN35EE913
Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)
Workshop Address :
GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________
PIAGGIO VEHICLES PRIVATE LIMITED
E-2, M. I. D. C. BARAMATI - 413 133, Dist. Pune. (Maharashtra)
PRE-DELIVERY INSPECTION REPORT
VEHICLE TYPE 3W DATE OF SALE 30/04/2024
CHASSIS Number MBX0009TF3D401424 MOTOR Number 2404S001528
INVOICE Number DIEV24000025 INVOICE DATE 30/04/2024
GEAR BOX Number - PDI DATE 30/04/2024
BATTERY Number /s - CONSIGNMENT 30/04/2024
RCVD. ON
DEALER CODE IN35EE913 LINE STAMP OF
DEALER
BATTERY MAKE AMARON DEALER'S NAME /
PLACE
VEHICLE KEY Number 8587

TYRE MAKE MRF FR. TYRE Number

Fl. TYRE Number RR. REAR TYRE


Number
RL. REAR TYRE INFLANATION Electric
Number

CUSTOMER NAME SUKHRAM SINGH CONTACT 8979765067


Number
ADDRESS S/O OMKAR SINGH, CHOTPUR COLOANY, SECTOR-63 NOIDA, GAUTAM BUDDHA
NAGAR UTTAR PRADESH
CITY STATE Delhi

PIN 201301 Email Id SUKHRAM@GMAIL.COM

CUSTOMER SIGNATURE : _______________________________________________________


Dealer Code : IN35EE913
Dealer Name : E NEXT MOBILITY PVT LTD Print Date : 30/04/2024.
Showroom Address :C 63 GROUND FLOOR SECTOR 58 NOIDA GAUTAM BUDDHA NAGAR UTTAR PRADESH Time : 06:18:05 PM.
201301 NOIDA (T) 09818877381 (F)
Workshop Address :
GST No.09AAGCE4779B1ZI
____________________________________________________________________________________________
Customer Acknowledgement and Dealer Verification form

Annexure D
(A)- CUSTOMER ACKNOWLEDGEMENT I/We here by undertake that I / my organization as given below are purchased 1 no of vehicle (only for
individual) details of which are given below under EMPS subsidy Scheme of Government of India and the benefit of admissible incentive amount has /
have been received,by way unfront reduction in the cost of vehicle as reflected in the dealer's invoice.

Information about Vehicle :

Sr. No. Particular Provide details

1. Name of Manufacturer Piaggio Vehicle Private Limited

2. Dealer Name * E NEXT MOBILITY PVT LTD

3. Vehicle Model * Ape E-CITY FX NE MAX


4. Model Variant * Ape E-CITY FX NE MAX

5. Chassis Number * MBX0009TF3D401424

6. Dealer Invoice Number * DIEV24000025

7. Dealer Invoice Amount * ₹ 359207

8. Incentive Amount adjusted in purchase ₹ 40000

9. Total Number of vehicle purchased 1

10. Vehicle Unique Identification Number MBX0009TF3D401424

Information about Customer : *


Sr. No. Particular Provide details

1. Customer Name * SUKHRAM SINGH

2. Customer Address * S/O OMKAR SINGH, CHOTPUR COLOANY, SECTOR-63 NOIDA,


GAUTAM BUDDHA NAGAR UTTAR PRADESH
3. Customer ID Proof i.e. Aadhaar Card,PAN Card or Purchase 456451262030 / LMUPS1454B
order
4. Customer Address Proof Aadhaar card Number
5. Customer Email ID * SUKHRAM@GMAIL.COM

6. Customer Mobile Number * 8979765067

7. Date of purchase of EV earlier by the customer, if any


8. Whether single purchase or bulk purchase Single Purchase (1 No )

9. Indicate purpose,In case of bulk purchase -

I / We hereby certify that the Mobile number is functional and is in my name / in name of my family member.

(B) DEALER VERIFICATION

We E NEXT MOBILITY PVT LTD , the Authorized dealer of Piaggio Vehicle Private Limited do verify the sale of said vehicle to the above named
purchaser.

We confirm that the benefit of INR 40000 (Rupees RUPEES FORTY THOUSAND ONLY only) on account of EMPS subsidy for number of vehicles
has actually been given to the purchaser in the form of reduced purchase price.

We have also verified the ID, Address and Mobile number of the purchase and confirm to be correct.

(Signature of Authorized signatory and Stamp)

Name and Designation :

Date : 30/04/2024 ------------------------------------------------------------


E NEXT MOBILITY PVT LTD (9818877381)
Place : NOIDA

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