SONU KR. PRASAD Surveyor & Loss Assessor License No.: 74363/2020-2023, Validity : 12-08-2023 Automobile Engineer Date : 30-Dec-2021 Report No. : SP/FR/DEC/713 To, BAJAJ ALLIANZ GENERAL INSURANCE CO.LTD. SAHARAN HOUSE (2nd FLOOR),ABOVE ICICI BANK,2nd MIL,SEVOKE ROAD SILIGURI,WEST BENGAL Subject Motor Final Survey Bill Insured Name PINTU MAJUMDER Vehicle No. WB 72 Z 4224 Mobile No. 9547545225 Claim No. 0C-22-2404-1826-00000595 Policy No. 0G-22-3480-1826-00000015 Bill details Amount in Rs. Final Survey fees 1,000.00 Re-inspection Survey Fee Spot Survey Fee VISIT TO THE "MISTI AUTOMOBILE,KRANTIHAT" 95KM*2=190KM 1,900.00 Haltage Half day @ Rs. 750.00 / Day 18 Photographs @ Rs.10/- Postage 50.00 Misc Expanse Total Fees 2,950.00 Amount in word: Two Thousand Nine Hundred and Fifty only. S 2 SONU KR PRASAD Surveyor e Loss Assessor A AL 1 3 d ACCOUNT NO : 00141140039590 : HDFC BANK LTD all BANK NAME ACCOUNT NAME SONU KR.PRASAD ACCOUNT TYPE SAVINGS IFSC CODE HDFC0000014 MICR CODE : 700240003 BRANCH : SARAT BOSE ROAD,KOLKATA-700020 PAN NO. : AWHPP4340H ICICI BAnK BuilDinG,KeShaB RoAd,OPp-RAJBArI paLACe,COOCh BehAr MobiJe No. 9874567676,9083456740, Email- sonu86.prasad@gmail.com --------------PAGE END-----------------------