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 07/10/2020
                                          Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
 Ref:- BAJAJ/FINAL/2020/21/0141                                                                Dated: 18/08/2020
 HSN 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 14Z 9872
 INSURED NAME           :       MRS.KAJAL RATHI
 CLAIM NO.                    :       0C-21-1103-1802-00000940
POLICY No.                             0G-20-9906-1802-00589977
 ASSESSED LOSS             :       Rs. 4200/-


Professional
Professional Fee                                                                                                                           400.00
Visit to workshop                                                                                                                         150.00
RE-Inspection Charges                                                                                                                     0.00
Under repair                                                                                                                                   0.00
Spot Inspection fess                                                                                                                         0.00
TOTAL                                                                                                                                      550.00
CGST@9%:                                                                                                                                     49.50
SGST@9%                                                                                                                                        49.5
GROUND TOTAL                                                                                                                     649.00


Thanks & Regards
Rakesh Kumar
Suryeyors&Ioss Assessors.

AdEOzea S1gato
                WA

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