Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS3/AIG21007480/R1VF3N2 |
| Date: | 28/07/2021 |
REFERENCE |
| Handling Insurer: | AIG Asia Pacific Insurance Pte. Ltd. |
Policy No: | 1900262709 |
| Claimant Vehicle No : | JUL8919 | Insured Vehicle No : | SMS669S |
| Date of Loss: | 06/07/2021 |
Nature of Claim: | TP |
Claim No: |
3712943853SG
|
| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | JUL8919 |
| Make & Model: | YAMAHA XMAX 300, 292cc |
Engine No: | G3H4E0043745 |
| Reg. Date: | 25/02/2021 (Man. Year: 2021) |
Chassis No: |
PMYSG4010M0007875 |
| Colour: | Multi-colour |
Odometer: | 3369 km |
| Engine Capacity: | 250 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 120/70-15 |
Rear Tyre Size: | 140/70-14 |
|
Front Left Side:
| Dunlop 4 mm | |
Rear Left Side:
| Dunlop 4 mm | |
| Front Right Side: | 0 mm | |
Rear Right Side: | 0 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
|
0.00 |
|
| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
|
| Labour |
0.00 |
0.00 |
0.00 |
|
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
|
| Towing |
0.00 |
0.00 |
0.00 |
|
| | |
| Nett Amount (S$) |
0.00 |
0.00 |
0.00 |
|
| | |
| INSPECTION |
| Date of Assignment: | 09/07/2021 |
| Date Inspected: | 09/07/2021 |
Inspected At: | BLK 4 YEW TEE IND EST 393 - J WOODLANDS ROAD SINGAPORE 677969 REPAIRER:ENG SOON PAINTING SVC |
| Estimated Period of Repair: | 5.0 days |
| Adjuster: |
MOHD RASUL |
|
Manager:
|
VERON CHEN
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NOTE: This report represents our findings at the time and place of inspection stated herein. Such inspection has been carried out to the best of our knowledge and ability but any other liability under any other circumstances is hereby expressly excluded.
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Recommended Parts
| Report was unsubmitted during this print-out. |
| No. | Qty |
Part No. |
Particulars |
Condition | Repairer's | |
Amount |
|
| 1 |
1 |
|
*FRONT HEADLAMP FAIRING RH |
Cracked |
0.00 |
F |
*- |
F |
| 2 |
1 |
|
*FRONT RH SIGNAL LAMP |
Cracked |
0.00 |
F |
*- |
F |
| 3 |
1 |
|
*SIDE FAIRING RH |
Cracked |
0.00 |
F |
*- |
F |
| 4 |
1 |
|
*SIDE FAIRING TOP GARNISH |
Cracked |
0.00 |
F |
*- |
F |
| 5 |
1 |
|
*SIDE FAIRING INNER GARNISH |
Cracked |
0.00 |
F |
*- |
F |
| 6 |
1 |
|
*REAR FAIRING |
Scratched |
0.00 |
F |
*- |
F |
| 7 |
1 |
|
*FAIRING LOWER FRT RH |
Scratched |
0.00 |
F |
*- |
F |
| 8 |
3 |
|
*FRONT SIDE FAIRING STICKER |
Necessary |
0.00 |
F |
*- |
F |
| 9 |
1 |
|
*SIDE STEP RH |
Deformed |
0.00 |
F |
*- |
F |
| 10 |
1 |
|
*FRONT FOOT REST LH |
Missing |
0.00 |
F |
*- |
F |
| 11 |
1 |
|
*FRONT FOOT REST BRACKET LH |
Broken |
0.00 |
F |
*- |
F |
| 12 |
1 |
|
*MAIN STAND |
Cracked |
0.00 |
F |
*- |
F |
| 13 |
1 |
|
*EXHAUST MUFFLER ASSY |
Bent |
0.00 |
F |
*- |
F |
| 14 |
1 |
|
*REAR BRAKE CALIPER |
Cracked |
0.00 |
F |
*- |
F |
| 15 |
1 |
|
*REAR NUMBER PLATE |
Bent |
0.00 |
F |
*- |
F |
| 16 |
1 |
|
*REAR LH WHEEL COVER |
Cracked |
0.00 |
F |
*- |
F |
| 17 |
1 |
|
*REAR SIDE FAIRING LH |
Scratched |
0.00 |
F |
*- |
F |
| 18 |
1 |
|
*STEP BOARD LH |
Scratched |
0.00 |
F |
*- |
F |
| 19 |
1 |
|
*FRT SIDE FAIRING LH |
Scratched |
0.00 |
F |
*- |
F |
| F=Franchise part. |
|
| Total Parts (S$) |
0.00 | | 0.00 | |
| |
|
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
There are no labour items selected. |
< END OF ESTIMATES >