SURVEY FEE BILL
                                                                                                   JAVED ALI CHAUAHAN
                                                                                                        surveyor&Loss Assessor
                                                                                                Licence No.-SLA7519923-03-2022)
                 Ref.No.3508                                                                                                                                          Date:                          22/09/2020
                PAN:              AHRPA4504H
                 SAC:             917162
                 Insurance Auxillary Service
                State &State Code:Uttar Pradesh,(09)
                INSURER DETAILS
                Name                                              M/S-Bajaj Allianz General Insurance company Limited
                Addresh                                           C-31,Sector-2,2nd floor,Near Nirulas,Noida,U.P-201301
                GSTIN                                             09AABCB5730G1ZV
                State                                               UTTAR PRADESH
                State Code                                            9
                CLAIM DETAILS
                Claim No.                                             OC-21-1103-1802-00001441
                Policy No.                                            OG-20-1904-1802-00036728
                Vehicle No.                                           UP 14DR 1021
                Insured                                               MR GAURAV SHARMA
                Date Of Loss                                          06-Sep-20
                DESCRIPTION OF SERVICES
                PROFESSIONALFEE                                                                                                                                                                          400
                 CONVYENCE                                       :    MEERUT TO BAGHPAT                                      140*7.5=1050                                                                600
                Photos                                           :                                      100    @          1
                Others                                           :
                                                                                                                                     Total Amount                                                       1000
                Account Detail
                Account No.                                           50100120988818
                IFSC Code                                             HDFC0000655
                Bank Name                                            HDFC BANK LTD.MEERUT
                                                                                                                                                                 JAVED AL CHAUAHAN
                                                                                                                                                                     surveyor  Loss Asteor
                                                                                   Ho.No-70, Sector-10 Shastri Nagar Meerut -250001 [U.P)                                  X
                                                                             Mob.-9719999792,01212703392,Email-jachauhan73@gmail.com
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