Tn 28 Ac 2117
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G.SUNDARESWARAN * Motor * Marine * Fire
Insurance Surveyor * Loss Assessor Licence No. SLA 13216 /Exp. 12.05.2011. No: 5/4-109D, Opp.Govt.Higher Secondary School, Karuppur, Salem - 636 012 Phone No: 0427-2345968 Mobile : 94436 - 88838 E-Mail : [email protected]
Date : 4.03.2009.
Ref No.: 01/RI/ I/2009 REINSPECTION REPORT Name and address of the Insurer Co mpany Ltd.,
:
Name and address of the Insured
:
Claim Number
:
2091037360
Policy Number
:
1207782334004436
Period of Cover
:
04.01.2008 To 30.12.2008.
Vehicle Registration No.
:
TN 28 AC 2117
Date of Registration
:
14.01.2008.
Chassis No.
:
TPE 638246
Engine No.
:
TPH 501213.
Make
:
M/s. Ashok Leyland Ltd.
Date of accident
:
18.02.2009 at 12.00AM.
Place of accident
:
Near PGP College Kandampalayam, Namakkal.
Date of Re-Inspection
:
05.03.2009.
Place of Re- Inspection
:
Sri. Murugan Lorry Body Labour Works, 152-H, Salem Road , Namakkal.
INSPECTION
M/s. Reli an ce General Insurance Salem. Mr. M. Sen thil Raja, 3/87- Vela gounam patty , Aniyar, Namak kal, Tamilna du.
REMARKS :
1. Physically verified serial numbers: Chassis No. : TPE 638246 Engine No : TPH 501213. 2. The Insured has carried out the all the repair works as per my final survey Report. 3. The following parts were renewed as per the final survey recommendation. Windscreen glass : 1no Quarter Glass : 1no King Pin Kit : 1no Glass beading : 1no. 4. Cabin and body repair / refabrication works were carried out as per my recommendation. 5. The vehicle was brought back to good road worthy condition. 6. The Photos Taken by me is enclosed herewith in a CD. “ This repor t is issue d wit h ou t Prejudice ”
Insurance Surveyor * Loss Assessor Licence No. SLA 13216 /Exp. 12.05.2011. No: 5/4-109D, Opp.Govt.Higher Secondary School, Karuppur, Salem - 636 012 Phone No: 0427-2345968 Mobile : 94436 - 88838 E-Mail : [email protected]
Date : 4.03.2009.
Ref No.: 01/RI/ I/2009 REINSPECTION REPORT Name and address of the Insurer Co mpany Ltd.,
:
Name and address of the Insured
:
Claim Number
:
2091037360
Policy Number
:
1207782334004436
Period of Cover
:
04.01.2008 To 30.12.2008.
Vehicle Registration No.
:
TN 28 AC 2117
Date of Registration
:
14.01.2008.
Chassis No.
:
TPE 638246
Engine No.
:
TPH 501213.
Make
:
M/s. Ashok Leyland Ltd.
Date of accident
:
18.02.2009 at 12.00AM.
Place of accident
:
Near PGP College Kandampalayam, Namakkal.
Date of Re-Inspection
:
05.03.2009.
Place of Re- Inspection
:
Sri. Murugan Lorry Body Labour Works, 152-H, Salem Road , Namakkal.
INSPECTION
M/s. Reli an ce General Insurance Salem. Mr. M. Sen thil Raja, 3/87- Vela gounam patty , Aniyar, Namak kal, Tamilna du.
REMARKS :
1. Physically verified serial numbers: Chassis No. : TPE 638246 Engine No : TPH 501213. 2. The Insured has carried out the all the repair works as per my final survey Report. 3. The following parts were renewed as per the final survey recommendation. Windscreen glass : 1no Quarter Glass : 1no King Pin Kit : 1no Glass beading : 1no. 4. Cabin and body repair / refabrication works were carried out as per my recommendation. 5. The vehicle was brought back to good road worthy condition. 6. The Photos Taken by me is enclosed herewith in a CD. “ This repor t is issue d wit h ou t Prejudice ”
