RAJEEV BATRA
                                                                       (Surveyor & Loss Assessor)
Licence No.SLA/72709Valid upto 22/03/2022                                                                       Ph. (M)9810143600
IISLA MEMBERSHIP NO.-A/N/05042                                                                                             (0) 8800174968
B-30,3rd FLOOR (BACK SIDE)                                                                                                         (R) 011-27672404
MAHATMA GANDHI ROAD                                                                                                      Email:r.batra@yahoo.co.in
ADARSH NAGAR,DELHI-110033
                                                                                Survey Fee Bill
 To,
       Bajaj Allianz General Insurance Co.Ltd.                                                          Bill.No B-08/20/06043
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                     Date    :225/08/2020
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                    Code   Nil
       GSTIN:07AABCB5730G1ZZ               State Code : Delhi (07)
                   Report Ref No                      RB/BAJ/20-21/06620
                   Vehicle No.                    :    HR-10-S-1703
                   Insured Name               :    MS NISHU
                   Date Of Accident           :    19/07/2020
                   Policy/cover note no     :    OC-20-9906-1802-00175342
                   Claim No                       :    OC-21-1103-1802-00000761

    SNo                                         Particulars                                                  HSN/SAC                                Amount
       1    Final                                                                                                   997162                                       1,232.00
                      Professional Fee:       Assessed Amount  1,296.00                                            400.00
                      Photos/CD Expenses:                                                                                              0.00
                       0 Photographs, Charged for 0 @ Rs.0.00
                      Conveyance Expenses:                                                                                        832.00
                       Bharat automobile sonipat haryana @104km  8
                                                                                                                                          Sub Total             1,232.00
                                                                                                                                     CGST @9.00%                110.88
                                                                                                                                     S GST @9.00 %                 110.88
                ADVANCE RECEIPT                                                                                     Grand Total:             1,453.76
                                                                                                                                         Roundoff:             1,454.00
                                                   In words : Rs. One Thousand Four Hundred Fifty Four Only
   GSTIN:07AIGPB7033E1ZQ State:(07                                           RAJEEVBATRA
   PAN.AIGPB7033E
   Bank Name:PUNJAB NATIONAL BANK
   A/c No.             0618000100079039                                                  SLA-7          C
   MICR No           110024109                                                         SURVEYOR&LOSS ASSESSOR.

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