Mobile No:9315158266
                                                                                                     E-mail:virenderkumar
                                                                                                     surveyor@gmail.com

                                                        Virender Kumar
                                                        SURVEYOR & LOSS ASSESSOR
                                            Survey Licence No.74199 Valid up to 10-12-2022
                          OFFICE:11/312,Vishwakarma Road,Indira Market,Near Triveni Sr.Sec.School,
                                                            Bahadur Garh-124507
                                                                                                                    Dated:13/10/2020
Bill/Ref.No        20/0364
Insurers               M/s Bajaj Allianz General Insurance Company Ltd.,
                           Block no.-4, 7Th Floor, DLF Tower, Shivaji Marg, New Delhi 1 10015 Phone
                           no.011-6627800
                            GST NO.07AABCB5730G1ZZ
Regarding.           Survey Report of Vehicle No.DLl 1ST6044
A/c                     Mr.Vipin
Claim No.            OC-21-1103-1802-00001749

S.NO.               PARTICULARS                                                                          AMOUNT Rs.

                         Professional Charges                                                                         500.00
         2.            Conveyance Charges (One Visit)                                                       150.00
         3.            CD Charges                                                                                     000.00
                                                                                                                                 000.00
          4.            Professional Charges (Spot Inspection & Police Station
                         Visit)

                                                                                                                                650.00
                                                                                                      TOTAL              650.00



                                                                                                                VIRENDER KUMAR
                                                                                                                                   Signature

                                                                                                                   O                  12
                                                                                                                      Licence No.

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