Letter head
Address:
Contacts:
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
No. TRACECHASSIS
Letter head
Address:
Contacts:
XXXXXXXXXXXXX
Assessor.