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/2020/21/0642                                                                   Dated: 26/03/2021
                                                   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 8CAZ 0352
INSURED NAME                    SACHIN
CLAIM NO.                     :       OC-21-1103-1870-00004960
PoliCY No.                               OG-21-9910-1870-00042331
ASSESSED LOSS                       Rs. 13820/-


Professional
Professional Fee                                                                                                                                 750.00
Visit to workshop                                   Rohini To Loni, UP 60*4                                                           240.00
RE-Inspection Charges                                                                                                                           0.00
Under repair                                                                                                                                           0.00
Spot inspection                                                                                                                                       0.00
TOTAL                                                                                                                                             990.00
CGST@9%:                                                                                                                                             89.10
SGST@9%                                                                                                                                                89.1
GROUND TOTAL                                                                                                                          1168.20



Thanks & Regards
Rakesh Kumar
                    ESHKUN
Surveyors & Loss Assessors.
                 SLA-61197
(Authorizea Signatory)
                   &Loss

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