K.RAZENDHIRANE B.E., B. Sc., FIISLA., F.I.L.A, UISLA Insurance Surveyour/ Loss Assessor Member Ship "Fellow" - FS/03749 SLA 35136 Validity : 02.12.2022 Off: 11A, Vallalar Road, Kamaraj Nagar, Pondicherry -605011 Res: No.2, Mariamman Koil Street, Kurumbapet, Pondicherry -605009. e-mail : razendhirane@gmail.com, Mobile No: 9842333589,9629933589, Tel No:0413-4207797. PAN No:AETPR1940K GST No:34AETPR1940K1Z0 TAX INVOICE for the SERVICE PROVIDED in duplicate Reverse Charge : Place of survey Pondicherry Invoice No.: 299/Bajaj/2020-21 Invoice Date : 30.09.2020 Details of Receiver | Billed to: Name M/s. Bajaj Allianz General Insurance Co Ltd Address Chennai GSTIN 33AABCB5730G1Z4 Policy Number OG-20-4145-1801-00000141 Claim Motor OD Claims Claim Number OC-21-1501-1801-00001376 Insured Name Mr.TAMILSELVAM K Name of Product /|HSN / Taxable Total s.No:Service SAC Amount Value CGST SGST IGST amount Rate Amount Rate Amoun Rate Amount Insurance Claims adjustment 1 services 997162 1800.00 0% 0.00 0% 0.00 18% 324.00 Total amount 2124.00 No Details 1 Professional Fees 1250.00 2 Photo Charges CD 50.00 2 Conveyance Charges 500.00 3 Batta / Halting charge 0.00 4 Postal/Misc Charges Total 1800.00 Total Invoice Amount in Words: Total Amount Before Tax 1800.00 ADD:CGST 9 0.00 ADD :SGST 9 0.00 Bank Details : ADD : IGST 18 324.00 Bank Account No : 005601024553 Tax Amount : GST 2124.00 Bank Branch IFSC : ICICO000056 Name of the Account K.RAZENDHIRANE GST Payable on Reverse Charge : Branch Name Mission Street, Pondicherry Type Saving T K. RAZENDHIRANE, SLAMS K.RAZENDRANE.B.E.B.SC. 2.5-38 SURVEVOR/LOSSASSESSOR SONDY ---PAGE END---