Nayef bin Abdulaziz bin Muhammad Al- DA Center - ‫ر ز ا د ر‬

Naeem Office o
Khobar Center City - ‫د ا ر ز‬
18/12/2022 10:42:25 AM Print Date - ‫ر اط‬
03/12/2022 09:29:59 AM DA Date – ‫ر ا د ر‬ ‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
03/12/2022 10:34:44 AM DA Completed Date – ‫ر إ لا‬ Final Damage
DA031222551 DA Report No - ‫ر م ا ر ر‬ Assessment Report
AK28112272 Accident No - ‫ر م ا دث‬
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬

‫ن‬ ‫ا‬ Vehicle Owner Name / ‫كا ر‬ ‫ا م‬

‫ا ك‬
2337434415 ID / ‫ر م ا و‬ Owner

Vehicle Details
0566456496 Mobile No / ‫ر م ا وال‬

‫و تا ر‬
Ford Vehicle Manufacturer / ‫ا ر‬
Figo Model / ‫ا ود ل‬
‫تا ر‬
White 2017 Color & Year / ‫ا ون وا‬
Vehicle Info
G B D 9774 Plate No / ‫رما و‬
MAJFKBFE4HTS45368 Chasis No / ‫ل‬ ‫رما‬
Nayef Al-Naeem appreciation office Estimated By / ‫ا د ر‬ ‫ا‬

800.00 (A) Estimation Cost / ‫ا د ر‬ ‫ا‬ ‫أ ور ا دي ا‬

Labor Estimation

Assessment Details
120.00 VAT (15%) / ‫ا‬ ‫ا‬ ‫ر‬

‫و تا در‬
698.40 (B) Spare Parts Cost /‫ر‬ ‫ط ا‬
‫ط ا ر‬
Spare Parts
104.76 VAT (15 %) / ‫ا‬ ‫ا‬ ‫ر‬

1498.40 (A+B) Total Cost / ‫ا‬ ‫ا‬

‫ا‬ ‫أ‬
(A+B+VAT) Total Cost including VAT / Final Estimation
1723.16
‫ا‬ ‫ر ا‬ ‫ا‬ ‫ا‬
‫دام‬ ‫أ ور ا ح و‬ ‫ما‬ ‫ظت‬
Comments
‫أد ه و ز‬ ‫أ ور ا دال ا ط ا‬ ‫ما‬

‫ا د وا ط‬ ‫طر ا د‬ (%) ‫ا ؤو‬

Payment By Payment Method Liability(%)
AXA Insurance (Saudi Arabia) B.S.C.C By Insurance Company 100
Nayef bin Abdulaziz bin Muhammad Al- DA Center - ‫ر ز ا د ر‬
Naeem Office o
Khobar Center City - ‫د ا ر ز‬
18/12/2022 10:42:25 AM Print Date - ‫ر اط‬
03/12/2022 09:29:59 AM DA Date – ‫ر ا د ر‬ ‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
03/12/2022 10:34:44 AM DA Completed Date – ‫ر إ لا‬ Final Damage
DA031222551 DA Report No - ‫ر م ا ر ر‬ Assessment Report
AK28112272 Accident No - ‫ر م ا دث‬
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬

‫ا‬ ‫ر‬ ‫ا‬ ‫ا‬ ‫ر د‬ ‫ط ا‬ ‫ا‬ ‫ا‬

‫م‬ ‫ا‬
‫ا‬ ‫ا‬ ‫ا‬ ‫ر‬ ‫ما‬ ‫ا‬ ‫ا‬ ‫ا‬ ‫ورد ط ا ر‬
‫ا‬
Sparepart Final value (15%) Parts Final Value After Total cost Spare part dealer
Overall Discount
with VAT (15%) Overall Discount %
803.16 104.76 698.40 0% 776.00 Areej Al Wadi Trading Est

‫ك‬ ‫م وا‬ ‫دا‬ ‫ا‬

‫ك‬ ‫ا‬ ‫م‬ ‫ا‬ ‫ا‬ ‫ر ا و دة‬ ‫ا دد‬ ‫ط ا ر‬
Total After Discount
Consumption% Discount % Total Unit price Quantity Spare part
& Consumption

‫ر‬ ‫ا طب‬
698.40 0% 10% 776.00 776.00 1
FE1941621