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/2020/21/0332                                                                     Dated: 25/11/2020
                                                     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.                 :        UP 14DU 0381
INSURED NAME           :       SATISHCHAND
CLAIM NO.                     :        OC-21-1103-1802-00002405
POLICY No.                      :        OG-21-9906-1802-00123080
ASSESSED LOSS              :        Rs. 2600/-


Professional
Professional Fee                                                                                                                                     450.00
Visit to workshop                                   Rohini To Loni,GZB 68*4                                                           272.00
RE-Inspection Charges                                                                                                                               0.00
Under repair                                                                                                                                               0.00
Spot inspection Fee                                                                                                                                    0.00
TOTAL                                                                                                                                                  722.00
CGST@9%:                                                                                                                                                 64.98
SGST@9%                                                                                                                                                  64.98
GROUND TOTAL                                                                                                                               851.96



Thanks & Regards
Rakesh Kumar
Surveyors&Iuss Assessors.
               sr
                 Kaainy
              S
(Authorized Signatory)

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