SURVEY FEE BILL
                                                                                                   JAVED ALI CHAUAHAN
                                                                                                        surveyor & Loss Assessor
                                                                                                Licence No.-SLA7519923-03-2022)
                 Ref.No.3621                                                                                                                                          Date:                           22/10/2020
                 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 floor,Near Nirulas,Noida,U.P.-201301
                 GSTIN                                              09AABCB5730G1ZV
                State                                                 UTTAR PRADESH
                 State Code                                            9
                 CLAIM DETAILS
                 Claim No.                                             0C-21-1103-1802-00001162
                 Policy No.                                           OG-20-2001-1802-00022963
                 Vehicle No.                                           UP 16 BU 8344
                Insured                                               MR RAVI KUMAR
                Date Of Loss                                           04-Aug-20
                 DESCRIPTION OF SERVICES
                 PROFESSIONAL FEE                                                                                                                                                                        550
                  CONVYENCE                                            MEERUT TO SHAMLI                                       140*7.5-1050                                                               600
                Photos                                                                                  100     @         1
                Others
                                                                                                                                      Total Amount                                                      1150
                 Account Detail
                 Account No.                                          50100120988818
                IFSC Code                                             HDFC0000655
                Bank Name                                           HDFC BANK LTD.MEERUT
                                                                                                                                                                  JAVED ALYCHAUAHAN)
                                                                                                                                                                      Surveyor & Loss Afsesor
                                                                                                                                                                                      SX
                                                                                    Ho. No-70,Sector-10 Shastri Nagar Meerut-250001 (U.P)
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