MANOJ KUMAR SAINI (Surveyor & Loss Assessor), 225 -A, Block-P, Narayan Vihar, Jaipur. 302038. sla.manojsaini@gmail.com, 7300214555 GSTIN: 08FDZPS0455Q1Z9, License No. : SLA-85202 / Date of Exp. : 05-NOV-2026 Survey Fees Bill Bill To: Invoice No Date BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD MS/23-24/1538 15-02-2024 2nd and 3rd Floor, 4, Hathroi Fort, Gopal Bari, Ref. No. Ajmer Road, Jaipur Vehicle No. Policy No. / Claim No. Jaipur, Rajasthan RJ 14 TF 5832 OC-24-1401-1803- India 00000867 Insured Name 302001 GPS Automobiles Pvt Ltd GSTIN: 08AABCB5730G1ZX Place Of Supply: 08-Rajasthan Sr. Taxable CGST CGST SGST SGST Description HSN/SAC Rate Per Amount No. Value Rate|AmountRateAmount 1 Final Survey 5,000.00 |nos|5,000.00 9% 450.00 9% Z 450.00 5,900.00 Professional Fees Conveyance Charges 250.00 |nos 750.00 9% 67.50 9% 67.50 885.00 Professional Fees ( Re 350.00 |nos| 350.00 9% 31.50 9% 31.50 413.00 Inspection ) Subtotal 7,198.00 Total 6,100.00 INR7,198.00 Paid INR0.00 Balance|INR7,198.00 Amount (in words) : INR Seven Thousand One Hundred Ninety Eight Only CGST: 549.00 SGST: 549.00 Total Tax: 1098.00 PAN No. : FDZPS0455Q Bank Name : HDFC Bank A/c No. : 50100225869585 MICR No : 302240002 MANKUOAR SAINI IFS Code : HDFC0000554 (Surveyor & Loss Assessor) ---PAGE END---