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 07/10/2020
                                         Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0034                                                                Dated: 29/06/2020

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.               :       HR 10V 6681
INSURED NAME                   MRS. DAMYANTI
CLAIM NO.                   :       0C-21-1101-1802-00000408
PolICY No.                    :       0G-20-9906-1802-00145847
ASSESSED LOSS             :       Rs. 4300/-


Professional
Professional Fee                                                                                                                         450.00
Visit to workshop                                                                                                                        150.00
RE-Inspection Charges                                                                                                                   0.00
Under Repair                                                                                                                                 0.00
Spot Inspection fess                                                                                                                        0.00
TOTAL                                                                                                                                    600.00
CGST@9%:                                                                                                                                    54.00
SGST@9%                                                                                                                                         54
GROUND TOTAL                                                                                                                    708.00


Thanks & Regards
Rakesh..Kumar
   rveyors & Ioss Assessors.
         SLA61197
(AuthariruIissigary6ry)

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