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 07/10/2020
                                   Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0183                                                                  Dated: 16/09/2020

HSN 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 5SAQ 3949
INSURED NAME           :       RAJ KUMAR
CLAIM NO.                              0C-21-1101-1802-00001301
POLICY No.                              OG-20-1103-1802-00009774
ASSESSED LOSS             :       Rs. 2954/-



Professional
                                                                                                                                                          400.00
Professional Fee
Visit to workshop                                                                                                                              150.00
                                                                                                                                                              0.00
RE-Inspection Charges
                                                                                                                                                              0.00
Under repair
                                                                                                                                                              0.00
Spot Inspection fess
                                                                                                                                                           550.00
TOTAL
                                                                                                                                                            49.50
CGST@9%:
                                                                                                                                                              49.5
SGST@9%
                                                                                                                                                           649.00
GROUND TOTAL



Thanks & Regards
 Rakesh Kumar

Surveyors & Loss Assessors.

 AUthotizey Signatory
Punjab National Bank,Shivaji Marg,Kirti Nagar,New Delhi.A/c.:-0148000100975603

---PAGE END---