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 : sundareswaran_g@rediffmail.com

Ref No.: 03/RI/ I/2009 Date : 04.04.2009

REINSPECTION REPORT

Name and address of the Insurer : M/s. Reli an ce General Insurance

Co mpany Ltd.,
Salem.

Name and address of the Insured : Mr M.D. Rames h.

13- B K Pudur , Jalakandapuram Road,
Idappadi- 637 101.

Claim Number : 2091052113.

Policy Number : 1207782334004500.

Period of Cover : 06.02.2004 To 05.01.2010.

Vehicle Registration No. : KA 01 AE 2252.

Date of Registration : 06.02.2004.

Chassis No. : WVH 082300

Engine No. : WVH 252571

Make : M/s. Ashok Leyland Ltd., Tusker Super 2214 /1S.

Date of accident : 09.03.2009

Date of Re-Inspection : 02.04.2009.

Place of Re- Inspection : M/s. Kuirunchi Labour body builders, Sankagiri.

INSPECTION REMARKS :
1. Physically verified serial numbers:
Chassis No. : WVH 082300
Engine No : WVH 252571
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 - 2nos
Side Glass - 1no
Bonnet assembly - 1no
Scuttle dash - 1no
Centre Grille & Top Grille - 1no
Diesel Filter - 1no
King Pin Kit - 1no
Power steering Oil tank - 1no
rd
RH 3 Arm - 1no
Air Doom Hose - 1no
Wiper arm - 1no.
4. The front show and cabin repair / refabrication work 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 ”