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Material Damage Certificate

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Material Damage Certificate Powered By Docstoc
					Sample Template Format of Damage Certificate (Required for
Insurance Claim) issued by Transporter / Carriers for material
damaged in transit.

                                                       Phone : --------
         All Subject to Mumbai jurisdiction only
                                                       Fax : 022- ------

                    ABC TRANSPORT CO.
           THE MOST TRUSTED NAME IN ROAD CARRIERS
             Adm. Office : 14, PVR Road, Mumbai 458 005

Ref. No. ………………..                                           Date :
………………
                                                           Issued from
Mumbai
                         CERTIFICATE
                        (WITHOUT PREJUDICE)


Being issued to the Consignee, M/s Rocket Sales Limited
Address : Corporate House, 19th floor, 45/5 Nariman Point, Mumbai 458
540

For the goods despatched by M/s Rocket Sales Limited, Khapoli
Arrived on _________________ vide A/R No. _______________
delivered on _____________
as per the following Consignment Note :-


C. N. No. _____ Dated ______ Pkgs. Booked _____ Pkgs delivered _______
Ex- ____________ To _______________ Declared Weight ________
Said to contain __________________ GR/CR value _________________
Remarks on C. Note No.
_______________________________________________




Invoice No. _______________ Dated __________ Amount
_____________
Issued with _______________ Policy No. ___________ Dt.
_____________
Outer condition _______________ Inner Condition
____________________
Now this Certificate witnesseth :

        Contents            Type of loss i.e.    Original       Estimate of
                           Shortage/Damage      Value as per        loss
                                 etc.             Invoice




Total Estimated loss Rs. ___________ (Rupees
________________________ )

       We agree to the above without prejudice, This certificate is issued at
the request of the consignees primarily as witness for the purpose of
lodging claim with their underwriters of the consignors, without admission
of any liability, negligency or default on the part of the Carriers.

Agreed and accepted
For M/s Rocket Sales Limited                                    for ABC
Transport Co.



Signature for the Consignees or
their authorised representative
 Manager

				
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