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/2020/21/0234                                                                 Dated: 14/10/2020
                                                  HSN/SAC CODE:997162
Bajaj Allianz General Insurance Company Limited.
Block No.4, 7th Floor, DLF Tower-15, Shiyaji Marg, 011-66278225, New Delhi-110001.
GST Number:07AABCB5730GIZZ
VEHICLE NO.                :        DL 8SCE 4558
INSURED NAME           :       AJEET KUMAR
CLAIM NO.                    :       OC-21-1101-1802-00001240
POLICY No.                     :       0G-20-9906-1802-00423830
ASSESSED LOSS                      Rs. 20700/-


Professional
Professional Fee                                                                                                                           1000.00
Visit to workshop                                                                                                                           150.00
RE-Inspection Charges                                                                                                                    150.00
Under repair                                                                                                                                      0.00
Spot inspection Fee                                                                                                                            0.00
TOTAL                                                                                                                                       1300.00
CGST@9%:                                                                                                                                      117.00
SGST@9%                                                                                                                                            117
GROUND TOTAL                                                                                                                      1534.00


Thanks & Regards
Rakesh Kumar
                  J&Loss Assessors.

(AuthorizedSignatory)

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