Licence No. 58528 valid upto 27.02.2026	E-Mail - sanjay.111.singh@gmail.com
GSTIN NO. 09AOTPS2606F2ZK				      Mob. No. : 91-9415118111
Er. Sanjay Kumar Singh					   M-55, Amreshpuri Colony
Surveyor, Loss Assessor & Investigator			Rae Bareli - 229001 (U.P.)
	 =
					   FEE BILL
				   MOTOR FINAL SURVEY REPORT
BILL NO.   BAJAJS6233						   DATE :  27.02.2024
Policy No. OG-24-1021-1825-00003502	    Insurance Company : BAJAJ ALLIANZ GEN. INS. CO. LTD.
									  15/54-B, 2ND FLOOR
									  VIRENDRA SMRATI COMPLEX
									  CIVIL LINES
									  KANPUR-208001
									  GSTIN NO. 09AABCB5730G1ZV
Type of Cover PACKAGE POLICY		    Insurance Company
									  OC-24-1301-1825-00001683
							  Claim No.
Validity	     24-Apr-23
							  Sum Insured
			 23-Apr-24
Insurers  BAJAJ ALLIANZ GEN. INS. CO. LTD.
Insured MRS. GORAKH SINGH
Financers
Registered Owner : MRS. GORAKH SINGH
Registration No. : UP53EP0482
PROFESSIONAL FEE		==>>	500.00
Conveyance FEE			      250.00
TOTAL				       750.00
CGST @ 9%				     67.50
SGST @ 9%				    67.50
						885
										SLA	th
RUPEES EIGHT HUNDRED & EIGHTY FIVE ONLY				     A
									       58528
										      *

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