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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