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/2020/21/0415                                                                     Dated: 19/12/2020
                                                     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.                 :        DL 1PD 4130
 INSURED NAME            :        SARASWATI MODEL SCHOOL
 CLAIM NO.                     :        0C-21-1101-1812-00000015
 POLICY No.                      :        0G-21-1104-1812-00000304
 ASSESSED LOSS                       Rs. 10115/-


 Professional
 Professional Fee                                                                                                                                    500.00
 Visit to workshop                                                                                                                                  150.00
RE-Inspection Charges                                                                                                                          150.00
Under repair                                                                                                                                              0.00
 Spot verification Fee                                                                                                                                 0.00
TOTAL                                                                                                                                                800.00
CGST@9%:                                                                                                                                                72.00
SGST@9%                                                                                                                                                      72
 GROUND TOTAL                                                                                                                               944.00



 Thanks & Regards
Rakesh Kumar

                           LOS
                      AOWT
AuthorizeaSignatorys
                       OSS

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