THE AFFAIRS BUILDING,OFFICE NO.1501,15TH 3rd floor jaykumar plazza sarada college main road Booking Date : 01-Nov-2019
FLOOR,PLOT NO 9,SECTOR-17,PALM BEACH alagapuram pudur salem
Assured Date : 06-Nov-2019
ROAD,SANAPAD,nAVI MUMB
No. of Articles 15 4
Invoice No : 1343
Declarations :
I / we Have Carefully checked & verified the content filled in this docket and agree to the terms & conditions printed
overleaf of the Docket and will pay all charges as per agreement / Contract. said to content basic As per Invoice /
Declaration. Signature (For V-Xpress)