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/2020/21/0631                                                                    Dated: 23/03/2021
                                                    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 5SAT 7767
 INSURED NAME           :        MR.VIKAS RANA
CLAIM NO.                              OC-21-1103-1802-00003858
POLICY No.                      :        OG-21-1103-1802-00004799
ASSESSED LOSS                       Rs. 2000/-


Professional
Professional Fee                                                                                                                                   400.00
Visit to workshop                               Rohini To Baraut, UP 140*4                                                       560.00
RE-Inspection Charges                                                                                                                            0.00
Under repair                                                                                                                                            0.00
Spot & In-person verification                                                                                                                   0.00
TOTAL                                                                                                                                               960.00
CGST@9%:                                                                                                                                              86.40
SGST@9%                                                                                                                                                 86.4
GROUND TOTAL                                                                                                                           1132.80


Thanks & Regards
Rakesh Kumar
Supyeyors & Loss Assessors.

(Authozed(Signatory)

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