RAKESH KUMAR
                                                  SURVEYOR & LOSS ASSESSOR
FLAT NO. 417, C-1, Muskan Appartment, Sector-17, Rohini, New Delhi-89
                                      Mob.#9868110525/8836301125
                                      E-mail: majokarakesh61197@gmail.com
                                      License No. SLA-61197, Valid upto 07/10/2023
                                      Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0229                                                                 Dated: 12/10/2020
                                                  HSN/SAC CODE:997162
Bajaj Allianz General Insurance Company Limited.
Block No.4, 7th Floor. DLF Tower-15, Shivaji Marg, 011-66278225, New Delhi-110001.
GST Number:07AABCB5730GIZZ
VEHICLE NO.                :       UP 14DH 0255
INSURED NAME           :       NAVEEN AGGARWAL
CLAIM NO.                    :       OC-21-1103-1802-00001770
POLICY No.                     :       OG-20-1103-1802-00011876
ASSESSED LOSS             :       Rs. 10400/-


Professional
Professional Fee                                                                                                                            500.00
Visit to workshop                       ROHINI TO MODINAGAR GZB 100*4                                              400.00
RE-Inspection Charges                                                                                                                   400.00
Under repair                                                                                                                                     0.00
Visi to Insured place                                                                                                                          0.00
TOTAL                                                                                                                                      1300.00
CGST@9%:                                                                                                                                     117.00
SGST@9%                                                                                                                                           117
GROUND TOTAL                                                                                                                     1534.00



Thanks & Regards
Rakesh Kumar
Suryeyors &Loss Assessors.
       40161199
(Authonzed Signatory)

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