RAKESH KUMAR
                                                     SURVEYOR&LOSSASSESSOR
 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/2020/21/0481                                                                     Dated: 14/01/2021
                                                     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 7SBW 6247
INSURED NAME           :        MR.RAVINDER
 CLAIM NO.                      :        0C-21-1103-1802-00003009
POLICY No.                               OG-21-9906-1802-00042457
ASSESSED LOSS              :        Rs. 2700/-


Professional
Professional Fee                                                                                                                                    400.00
Visit to workshop                                    Rohini To Loni,UP 68*4                                                            272.00
RE-Inspection Charges                                                                                                                              0.00
Under repair                                                                                                                                              0.00
In-Person verification Fee                                                                                                                          0.00
TOTAL                                                                                                                                                672.00
CGST@9%:                                                                                                                                                60.48
SGST@9%                                                                                                                                                 60.48
GROUND TOTAL                                                                                                                               792.96



Thanks & Regards
Rakesh Kumar

                                      Ssessors.
               SA1E
(Authorizeor  ignatory
                                 4

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