Adjuster Report
VEHICLE DAMAGE INSPECTION REPORT
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Our File No: | CS/CTI21008026/KTCN2 |
| Date: | 06/08/2021 |
REFERENCE |
| Handling Insurer: | China Taiping Insurance (Singapore) Pte. Ltd. |
Policy No: | DMCVSNW00023102100 |
| Claimant Vehicle No : | CB7762S | Insured Vehicle No : | GBJ2908S |
| Date of Loss: | 22/07/2021 |
Nature of Claim: | TP |
Claim No: |
SNM21D204139/C02/TANKL
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| DESCRIPTION & IDENTIFICATION OF VEHICLE |
| Reg No: | CB7762S |
| Make & Model: | MITSUBISHI ROSA, 3.0 D BE641JRMDEB (A) |
Engine No: | 4P10C03914 |
| Reg. Date: | 13/06/2016 (Man. Year: 2015) |
Chassis No: |
BE641JK30128 |
| Colour: | White |
Odometer: | 142518 km |
| Engine Capacity: | 2998 cc |
| Market Value/New Car Price: | N/A |
| Sum Insured (S$): | Market Value/New Car Price |
| CONDITION OF VEHICLE AT THE TIME OF SURVEY |
| General Condition: | |
Steering (Serviceable): | Yes | Footbrake (Serviceable): | Yes |
| Handbrake (Serviceable): | Yes |
Engine Modification: | No |
Pre-accident Condition: | |
| CONDITION OF TYRES |
| Front Tyre Size: | 205/85R16 |
Rear Tyre Size: | 205/85R16(D) |
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Front Left Side:
| Giti 9 mm | |
Rear Left Side:
| Giti 9/9 mm | |
| Front Right Side: | Giti 9 mm | |
Rear Right Side: | Giti 9/9 mm | |
| The above values represent the remaining tyre treads depth |
| Parts |
0.00 |
0.00
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0.00 |
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| Miscellaneous Items |
0.00 |
0.00 |
0.00 |
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| Labour |
1,950.00 |
780.00 |
1,170.00 |
60.00 |
| Paintwork Labour |
0.00 |
0.00 |
0.00 |
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| Towing |
0.00 |
0.00 |
0.00 |
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| Nett Amount (S$) |
1,950.00 |
780.00 |
1,170.00 |
60.00 |
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| INSPECTION |
| Date of Assignment: | 28/07/2021 |
| Date Inspected: | 02/08/2021 |
Inspected At: | Serve You Motor Service (HQ)
BLOCK 5033 ANG MO KIO INDUSTRIAL PARK 2 #01-265
Singapore 569536 |
| Estimated Period of Repair: | 3.0 days |
| Adjuster: |
KENNETH KONG |
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Manager:
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DENISE TAY KWEE CHENG
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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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Reference |
| Part Source: | | (Last Synchronised: 06 Aug 2021) |
| Parts: | N/A | MITSUBISHI ROSA 3.0 D BE641JRMDEB (A) (Model not available in database) |
| Labour: | Repairer's | (Price-denominated Standard List) | |
| Print Code: | (Unsubmitted, no print-code for CB7762S) |
| Validity: | These estimates are valid only if they contain the print code (above) on all estimate pages, running page numbers with the END OF ESTIMATES marker on the last estimate page |
| Further Info: | Items/values not in reference catalogue are prefixed with an asterisk *. |
Recommended Parts
| Report was unsubmitted during this print-out. |
There are no new parts selected. |
Recommended Miscellaneous Items
There are no new miscellaneous items selected. |
Recommended Labour
| Report was unsubmitted during this print-out. |
| No | Particulars |
Lab.Type | Repairer's | Amount |
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| Labour Items |
| 1 |
TO PANEL BEATING ON THE RH REAR CORNER PANEL,RESHAPE,STRAIGHTEN,ORIENTATE AND ALIGN REPAIR/REPLACEMENT PARTS |
New |
750.00 | 380.00 |
| 2 |
SUPPLY SPRAY PAINT MATERIAL AND NECESSARY ITEMS TO RESPRAY ON ACCIDENT DAMAGED AREA |
New |
1,200.00 | 400.00 |
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| Gross Labour Cost (S$) |
1,950.00 | 780.00 |
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< END OF ESTIMATES >