| Surveyor Ref: | | | | | Date: | | | |
| MOTOR VEHICLE – VALUATION REPORT (This report is issued with out prejudice and with out any commitments ) | ||||||||
| REGISTRATION | | PERMIT | ||||
| Name of the RC owner | : | | | Permit holder name | : | |
| Registration number | : | | | Type of permit | : | |
| Make / classification | : | | | Permit number | : | |
| Date of registration | : | | | Validity of permit | : | |
| Chassis frame number | : | | | Area authorized | : | |
| Engine serial number | : | | | INSURANCE POLICY | ||
| Class of vehicle | : | | | Insured with | : | |
| Fuel used | : | | | Insured name | : | |
| Road tax paid up to | : | | | Policy number | : | |
| Fitness cert. Validity | : | | | Period of insurance | : | |
| Hypothecated with | : | | | Insured value | : | |
| INSPECTION / CONDITION OF VEHICLE | ||
| Work entrusted by | : | |
| Date of intimation for Assignment | : | |
Date and time of inspection | : | |
| Place of inspection | : | |
| Mileage reading during inspection | : | |
| Person present during survey | : | |
| Condition of vehicle | : | |
| Accessories / extra fitting parts | : | |
| SURVEYOR COMMENTS |
| It appears that the vehicle has been maintained well. |
| Engine serial number, Chassis frame serial numbers were verified physically. |
| Registration certificate, insurance policy particulars were not produced for my verification. |
| Present market value of the vehicle is Rs. |
| VEHICLE PHOTO – FROM FRONT SIDE | | VEHICLE PHOTO – FROM REAR SIDE |
| | | |
| CHASSIS No. TRACE | |
| XXXXXXXXXXXXX Assessor. | |
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