RAJEEV BATRA
                                                                     (Surveyor & Loss Assessor)
Licence No.SLA/72709 Valid upto 22/03/2022                                                                     Ph.(M)9810143600
IIISLA 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-06/20/05859
      7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                   Date26/06/2020
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                   CodeNil
       GSTIN:07AABCB5730G1ZZ              State Code : Delhi (07)
                  Report Ref No                     RB/BAJ/20-21/06422
                  Vehicle No.                         DL-8S-BT-3307
                  Insured Name                    MR AMIT SONKER
                  Date Of Accident           :    08/06/2020
                  Policy/cover note no     :    OG-20-1901-1802-00085788
                  Claim No                      :    OC-21-1101-1802-00000264

   S No                                       Particulars                                               HSN/SAC                               Amount
      1    Final                                                                                               997162                                        550.00
                     Professional Fee:       Assessed Amount 4,238.00                                           400.00
                    Photos/CD Expenses:                                                                                          0.00
                     0 Photographs , Charged for 0 @ Rs. 0.00
                    Conveyance Expenses:                                                                                    150.00

                                                                                                                                    Sub Total:               550.00
                                                                                                                               C GST @9.00%                 49.50
                                                                                                                               S GST @9.00 %                  49.50
               ADVANCE RECEIPT                                                                                  Grand Total:                649.00
                                                                                                                                   Round off:                649.00
                                                            In words : Rs. Six Hundred Forty Nine Only
   GSTIN:07AIGPB7033E1ZQ State :(07)                                         RAJEEV BATRA
   PAN.AIGPB7033E                                                                               -72709
   Bank Name:PUNJAB NATIONAL BANK
  A/c No.            0618000100079039                                                           M
  MICR NO          110024109                                                      SURVEYORLOSSASSESSOR.

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