Inspection ID: 22841
PRIVATE VEHICLE INSPECTION REPORT
Insurer: United India Insurance Co.Ltd.
Branch: UIIC | SM Name: UIIC
Regd.No.: HR09A8000 | Make/Model: MAHINDRA XUV300 / 2019 Download Images | Video
Vehicle Details Chassis No. Photo
Registration No. HR09A8000 Client Name SANJEEV KUMAR
Make/Model MAHINDRA XUV300 Client Address CHEEKA
Mfg. Year 2019 Odometer Reading 198064
Engine No. 41588 Vehicle Color DESAT SILVER
Chassis No 63557 Fuel Used Diesel
Inspection
Details
Inspection Inspection Remarks Inspection Status
14-May-2025 03:59 pm
Date/Time FRONT BUMPER SKID PANEL SCRATCH+ LH FRONT
Inspection Place CHEEKA DOOR MINOR SCRATCH Recommended
Inspection Done By Patran
Body
Parts
FRONT SIDE LEFT SIDE RIGHT SIDE
Front Bumper Intact LH Side Turn Light Intact RH Side Turn Light Intact
Bonnet Intact LH Front Fender Intact RH Front Fender Intact
Head Light RH Intact LH Front Door Intact RH Front Door Intact
Head Light LH Intact LH Rear Door Pressed RH Rear Door Intact
Indicator Light RH Intact LH Qtr Panel Scratched RH Qtr Panel Intact
Indicator Light LH Intact LH Pillar Front (A) Intact RH Pillar Front (A) Intact
Fog Lamp RH Intact LH Pillar Center (B) Intact RH Pillar Center (B) Intact
Fog Lamp LH Intact LH Pillar Rear (C) Intact RH Pillar Rear (C) Intact
Front Grill Intact LH Running Board Intact RH Running Board Intact
Front Panel Intact LH Rear View Mirror Intact RH Rear View Mirror Intact
REAR SIDE GLASSES ELECTRICAL AND NON ELECTRICAL
Rear Bumper Scratched Front W/S glass Intact Stereo/CD Changer Intact
LH Tail Lamp Intact LH Front Door Glass Intact A.C. Intact
RH Tail Lamp Intact LH Rear Door Glass Intact Seat Cover Intact
Dicky Intact LH Qtr Glass Intact Center Locking Intact
Floor Intact Dicky Glass Intact Tyres Intact
Silencer Intact RH Front Door Glass Intact ENGINE COMPARTMENT
RH Rear Door Glass Intact Left Apron Intact
RH Qtr Glass Intact Right Apron Intact
EXTERIOR
Roof Panel Intact
Declaration by
Client/Customer
I/We hereby confirm that the vehicle has been inspected in presense of me/my/our representative. I/We hereby confirm that the identification details and
damages of vehicle as noted / photographs taken by the inspecting officer are correct. Nothing has been hidden/undisclosed. I/We agreed that Customer signature
Repair/Replacement of dented/crack parts & Repair Painting of dented/scratched panels as per this inspection photographs shall be excluded in event of any
claim lodged during the policy period. I hereby certify that I have shown the same vehicle which I have to get insured and if later at the time of claim it is
found that vehicle shown and accidental are different then no claim is payble to me. I hereby certify that I will not claim for damages existing in my vehicle
whether same are mentioned in report or not if same are seen in photograph taken by the inspector.
Disclaimer
This is computer generated report and does not require a signature.
In the event of any claim, damages mentioned in this report or visible in photographs are not eligible for admissibility.
It is advised that you scan the QR code to confirm this report. We disclaim all liability for any report manipulation or altering.
RISLA
4934, New Shimlapuri,, - 141003
Phone: 9855234447 , Helpdesk: 9056602826, Any escalation: 9855234447 | Email:
[email protected] |
Website:
Inspection ID: 22841
PRIVATE VEHICLE INSPECTION REPORT
Insurer: United India Insurance Co.Ltd.
Branch: UIIC | SM Name: UIIC
Regd.No.: HR09A8000 | Make/Model: MAHINDRA XUV300 / 2019
Download Images | Video
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
RISLA
4934, New Shimlapuri,, - 141003
Phone: 9855234447 , Helpdesk: 9056602826, Any escalation: 9855234447 | Email:
[email protected] | Website:
Inspection ID: 22841
PRIVATE VEHICLE INSPECTION REPORT
Insurer: United India Insurance Co.Ltd.
Branch: UIIC | SM Name: UIIC
Regd.No.: HR09A8000 | Make/Model: MAHINDRA XUV300 / 2019 Download Images | Video
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
HR09A8000 - 14 May 2025 - 03:59 pm HR09A8000 - 14 May 2025 - 03:59 pm
RISLA
4934, New Shimlapuri,, - 141003
Phone: 9855234447 , Helpdesk: 9056602826, Any escalation: 9855234447 | Email:
[email protected] | Website:
