Mody Autocorp Pvt Ltd. Mody Autocorp Pvt Ltd.

Verna Industrial Estate II

Plot no. L-26-A,Verna,SalceteSalcete, 403722

E-Mail servicemgr.goa@vw-modyautocorp.co.in State Code GOA/ GA/ 30

Phone No. 7045919353 GST Regst. No. 30AAJCM0293M1ZE
Fax No. C.I.N. No. U34200AP2014PTC092304

Proforma Invoice
Customer Name: MOHSIN SHEIKH Repair Order No.: SOA2301384
Customer Address: HNO 615 BORIM SHIRODA PONDA SOUTH GOA Repair Order Date: 19 - Aug - 23
Ponda, 403401 Model: Vento Highline 1.2 TSI
India Kms In: 81994
Kms Out: 0
Customer State: GOA/ GA/ 30 Service Advisor: SAIF YELLURKAR
GST Regst. No.: S.A. Mob. No.: 7045919366
Cust PAN/ TIN No.: Next Service Due Date:
VIN: WVWL14608FT047437 Customer Category
Regn. No.: GA08M1455
GST Customer Type Unregistered

Demanded Repair (Customer Voice)

1 Paid Service 135.000 km/9th Year
2 WHEEL BALANCING
3 WHEEL ALIGNMENT
4 FRONT P/W VIBRATING
5 CHECK AC COOLING
6 COWL TOP CLEANING
7 NEW KEY CODING

Package No : D8C9E Description : Paid Service 135.000 km/9th Year

Labor Details
S. Customer GST Base Total Amount
Description Labor Code Category SAC Qty.
No. Share % Amount GST Incl. Tax
1 Inspections w.oil change . 01030014 Paid 00998729 1.00 100.00 540.00 97.20 637.20
CGST - 9.00% - 48.6, SGST - 9.00% - 48.6
2 Dust and pollen filter remove+reinstall 85181950 Paid 00998729 1.00 100.00 60.00 10.80 70.80
CGST - 9.00% - 5.4, SGST - 9.00% - 5.4
3 Washing 99231198 Paid 00998729 1.00 100.00 600.00 108.00 708.00
CGST - 9.00% - 54, SGST - 9.00% - 54
Total Labor 1,416.00

Parts Details
S. Unit Customer GST Base Total Amount
Description Category HSN Qty.
No. Price Share % Amount GST Incl. Tax
1 OIL FILTER Paid 84212300 1.00 197.46 100.00 197.46 35.54 233.00
CGST - 9.00% - 17.77, SGST - 9.00% - 17.77
2 LUB. SPRAY Paid 34039900 0.50 1,377.97 100.00 688.98 124.02 813.00
CGST - 9.00% - 62.01, SGST - 9.00% - 62.01
3 VWGRSpecG5W 40 1 209L A795 Paid 27101980 3.90 572.03 100.00 2,230.93 401.56 2,632.49
CGST - 9.00% - 200.78, SGST - 9.00% - 200.78
4 SCREW Paid 73181500 1.00 188.98 100.00 188.98 34.02 223.00

Page 1 of 4 Printed On : 21-Aug-2023 16:11

 Mody Autocorp Pvt Ltd. Mody Autocorp Pvt Ltd.
Verna Industrial Estate II
Plot no. L-26-A,Verna,SalceteSalcete, 403722

E-Mail servicemgr.goa@vw-modyautocorp.co.in State Code GOA/ GA/ 30

Phone No. 7045919353 GST Regst. No. 30AAJCM0293M1ZE
Fax No. C.I.N. No. U34200AP2014PTC092304

Parts Details
S. Unit Customer GST Base Total Amount
Description Category HSN Qty.
No. Price Share % Amount GST Incl. Tax
CGST - 9.00% - 17.01, SGST - 9.00% - 17.01
Total Parts 3,901.49

Total Parts And Labor : 5,317.49

Package No : D940A Description : GFF & Consumables
Labor Details
S. Customer GST Base Total Amount
Description Labor Code Category SAC Qty.
No. Share % Amount GST Incl. Tax
1 GFF & Consumables 99216014 Paid 00998729 1.00 100.00 720.00 129.60 849.60
CGST - 9.00% - 64.8, SGST - 9.00% - 64.8
Total Labor 849.60

Parts Details
S. Unit Customer GST Base Total Amount
Description Category HSN Qty.
No. Price Share % Amount GST Incl. Tax
Total Parts

Total Parts And Labor : 849.60

Requested Jobs
Labor Details
S. Customer GST Base Total Amount
Description Labor Code Category SAC Qty.
No. Share % Amount GST Incl. Tax
1 Cowl panel trim remove+reinstall 66441900 Paid 00998729 1.00 100.00 240.00 43.20 283.20
CGST - 9.00% - 21.6, SGST - 9.00% - 21.6
2 Mudwing front remove+reinstall 50551950 Paid 00998729 1.00 100.00 270.00 48.60 318.60
CGST - 9.00% - 24.3, SGST - 9.00% - 24.3
3 2 Wiper arm remove+reinstall 92252000 Paid 00998729 1.00 100.00 240.00 43.20 283.20
CGST - 9.00% - 21.6, SGST - 9.00% - 21.6
4 Hub with bearing remove+reinstall 40671900 Paid 00998729 1.00 100.00 780.00 140.40 920.40
CGST - 9.00% - 70.2, SGST - 9.00% - 70.2
5 vehicle front + rear measured 44950300 Paid 00998729 1.00 100.00 540.00 97.20 637.20
CGST - 9.00% - 48.6, SGST - 9.00% - 48.6
6 4 Wheels balance 44059404 Paid 00998729 1.00 100.00 540.00 97.20 637.20
CGST - 9.00% - 48.6, SGST - 9.00% - 48.6
7 2 Rear brake drums remove+reinstall 46462050 Paid 00998729 1.00 100.00 240.00 43.20 283.20
CGST - 9.00% - 21.6, SGST - 9.00% - 21.6
2 Front brake calipers remove
8 47392000 Paid 00998729 1.00 100.00 120.00 21.60 141.60
+reinstall
CGST - 9.00% - 10.8, SGST - 9.00% - 10.8
9 Front door trim panel remove+reinstall 70591900 Paid 00998729 1.00 100.00 540.00 97.20 637.20
CGST - 9.00% - 48.6, SGST - 9.00% - 48.6
Total Labor 4,141.80

Page 2 of 4 Printed On : 21-Aug-2023 16:11

 Mody Autocorp Pvt Ltd. Mody Autocorp Pvt Ltd.
Verna Industrial Estate II
Plot no. L-26-A,Verna,SalceteSalcete, 403722

E-Mail servicemgr.goa@vw-modyautocorp.co.in State Code GOA/ GA/ 30

Phone No. 7045919353 GST Regst. No. 30AAJCM0293M1ZE
Fax No. C.I.N. No. U34200AP2014PTC092304

Parts Details
S. Unit Customer GST Base Total Amount
Description Category HSN Qty.
No. Price Share % Amount GST Incl. Tax
1 Carbon Activated carbon Air filter Paid 84219900 1.00 846.61 100.00 846.61 152.38 998.99
CGST - 9.00% - 76.19, SGST - 9.00% - 76.19
2 Windshield Washer (250 ml) Paid 34029099 1.00 168.64 100.00 168.64 30.36 199.00
CGST - 9.00% - 15.18, SGST - 9.00% - 15.18
3 BALANCING STICK WTS FOR ALLOY Paid 87089500 3.00 195.31 100.00 585.93 105.46 691.39
CGST - 9.00% - 52.73, SGST - 9.00% - 52.73
10,753.3
4 KEY Paid 83017000 1.00 100.00 10,753.39 1,935.62 12,689.01
9
CGST - 9.00% - 967.81, SGST - 9.00% - 967.81
Total Parts 14,578.39

Total Parts And Labor : 18,720.19

Labor Parts Round off Amount : -0.28
CGST 9.00 % 488.70 1409.48
SGST 9.00 % 488.70 1409.48
977.40 2,818.96
TWENTY FOUR THOUSAND EIGHT HUNDRED EIGHTY SEVEN Final Amount : 24,887.00
Rupees :
RUPEES AND ZERO PAISA ONLY

Whether tax is payable in reverse charge? Yes / No

Summary Details
Details Labor Amount Labor Tax Amount Parts Amount Parts Tax Amount Total
Paid Service 135.000 km/9th Year 1200 216.0 3306.35 595.14 5317.49
GFF & Consumables 720 129.6 0 0 849.6
Requested Jobs 3510 631.8 12354.57 2223.82 18720.19

Remarks Area (Safety related)/ Advice for Future Repair

AC ASSEMBLY NTR CNA
FRONT WIPER BLADES NTR CNA
DICKY SWITCH NTR CNA
WIRING PIN NTR CNA
DECLERATION: I / We do hereby declare that the particulars given above are true and correct. The amount indicated
represents the price actually charged and there is no additional consideration flowing directly or indirectly from the buyer.

Customer Signature Dealer Authorized Signature

Page 3 of 4 Printed On : 21-Aug-2023 16:11

 Mody Autocorp Pvt Ltd. Mody Autocorp Pvt Ltd.
Verna Industrial Estate II
Plot no. L-26-A,Verna,SalceteSalcete, 403722

E-Mail servicemgr.goa@vw-modyautocorp.co.in State Code GOA/ GA/ 30

Phone No. 7045919353 GST Regst. No. 30AAJCM0293M1ZE
Fax No. C.I.N. No. U34200AP2014PTC092304

HSN/SAC Code wise GST Summary

HSN/SAC Code Base Amount IGST % IGST Amount CGST % CGST Amount SGST % SGST Amount Total

00998729 5,430.00 9.00 488.70 9.00 488.70 6,407.40

27101980 2,230.93 9.00 200.78 9.00 200.78 2,632.49

34029099 168.64 9.00 15.18 9.00 15.18 199.00

34039900 688.98 9.00 62.01 9.00 62.01 813.00

73181500 188.98 9.00 17.01 9.00 17.01 223.00

83017000 10,753.39 9.00 967.81 9.00 967.81 12,689.01

84212300 197.46 9.00 17.77 9.00 17.77 233.00

84219900 846.61 9.00 76.19 9.00 76.19 998.99

87089500 585.93 9.00 52.73 9.00 52.73 691.39

Total 21,090.92 1,898.18 1,898.18 24,887.28

Page 4 of 4 Printed On : 21-Aug-2023 16:11