RAKESH KUMAR
                                                    SURVEYOR &LOSS ASSESSOR
FLAT NO. 417, C-1, Muskan Appartment, Sector-17, Rohini, New Delhi-89
                                         Mob.#9868110525/8836301125
                                         E-mail: majokarakesh61197@gmail.com
                                         License No. SLA-61197, Valid upto 07/10/2023
                                         Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0493                                                                    Dated: 19/01/2021
                                                    HSN/SAC CODE:997162
Bajaj Allianz General Insurance Company Limited.
Block No.4, 7th Floor, DLF Tower-15, Shivaji Marg, 011-66278225, New Delhi-110001.
GST Number:07AABCB5730GIZZ
VEHICLE NO.                           DL 1LM 7434
INSURED NAME           :        SURENDER KUMAR
CLAIM NO.                     :        OC-21-1101-1803-00000917
POLICY No.                               OG-21-1104-1803-00001411
ASSESSED LOSS                       Rs. 3563/-


Professional
Professional Fee                                                                                                                                   500.00
Visit to workshop                                                                                                                                  150.00
RE-Inspection Charges                                                                                                                         150.00
Under repair                                                                                                                                         150.00
In-Person verification Fee                                                                                                                        0.00
TOTAL                                                                                                                                               950.00
CGST@9%:                                                                                                                                              85.50
SGST@9%                                                                                                                                                  85.5
GROUND TOTAL                                                                                                                           1121.00


Thanks & Regards
Rakesh Kumar
Surveyors & Loss Assessors.
                                  +r

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