SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                                 surveyor& Loss Assessor
                                                                          Licence No.-SLA7519923-03-2022)
Ref.No.3703                                                                                                                        Date:                    19/11/2020
PAN:       AHRPA4504H
SAC:       917162
Insurance Auxillary Service
State &State CodeUttar Pradesh,(09)
INSURER DETAILS
Name                                     M/S-Bajaj Allianz General Insurance company Limited
Addresh                                 C-31,Sector-2,2nd floor,Near Nirulas,Noida,U.P.201301
GSTIN                                     09AABCB5730G1ZV
State                                       UTTAR PRADESH
State Code                                 9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1826-00002272
Policy No.                                   OG-21-1120-1802-00001070
Vehicle No,                                 UP15 CQ 4662
insured                                      MR RAHUL KUMAR
Date Of Loss                               06-Nov-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                               400
 CONVYENCE                              MEERUT TO KILAPARIKSHITGARH              80*7.5=600                                                      600
Photos                                                                       100@      1
Others
                                                                                                             Total Amount                                           1000

Account Detail
Account No.                               50100120988818
IFSC Code                                  HDFC0000655
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                       JAVED ALLCHAUAHAN)
                                                                                                                                           surveyor&Loss/Asso
                                                               Ho.No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)
                                                                                                                                                *

---PAGE END---