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 07/10/2020
                                            Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
 Ref:- BAJAJ/FINAL/2020/21/0108                                                                    Dated: 31/07/2020
 HSN 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 4SCE 2913
 INSURED NAME           :       MR. PRITAM YADAV
 CLAIM NO.                     :       0C-21-1101-1802-00000690
 POLICY No.                      :        0G-20-1101-1802-00014655
ASSESSED LOSS                       Rs. 9300/-


 Professional
Professional Fee                                                                                                                                  500.00
Visit to workshop                                                                                                                                150.00
                                                                               :
RE-Inspection Charges                                           :                                                                              0.00
Under repair                                                          :                                                                              0.00
Spot Inspection fess                                                                                                                                0.00
TOTAL                                                                                                                                             650.00
CGST@9%:                                                                                                                                            58.50
SGST@9%                                                                                                                                                58.5
GROUND TOTAL                                                                                                                            767.00



Thanks & Regards
Rakesh Kumar
Surveyors & Loss Assessors.
         AKESH
    uthonize   Signatory)
Punjab Wational Bank,Shivaji Marg,Kirti Nagar,New Delhi.A/c.:-0148000100975603

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