SURVEY FEE BILL
                                                                             JAVED ALI CHAUAHAN
                                                                                  surveyor& Loss Assessor
                                                                           Licence No.-SLA75199(23-03-2022)
Ref.No.3602                                                                                                                         Date                    18/10/2020
PAN:       AHRPA4504H
SAC       917162
Insurance Auxillary Service
State &State Code:Uttar Pradesh,(09)
INSURER DETAILS
Name                                     :M/S-Bajaj Allianz General Insurance company Limited
Addresh                                  C-31,Sector-2,2nd floorNear NirulasNoidaU.P.-201301
GSTIN                                     09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1802-00001900
Policy No.                                   OG-21-1901-1802-00031941
Vehicle No.                                 UP37J 2568
Insured                                      MR SUMIT KANSAL
Date Of Loss                               28-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                :                                                                                                                             1000
 CONVYENCE                              MEERUTTO HAPUR                             80*7.5=600                                                        600
Photos                                                                       100@      1
Others
                                                                                                              Total Amount                                            1600

Account Detail                       :
Account No.                                50100120988818
IFSC Code                                   HDFC0000655
Bank Name                                 HDFC BANK LTD.MEERUT
                                                                                                                                         (JAVEDALICHAUAHAN)
                                                                                                                                             sorveyor&Lostessor
                                                               Ho. No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)

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