SURVEY FEE BILL
                                                                         JAVED ALI CHAUAHAN
                                                                              surveyor &Loss Assessor
                                                                       Licence No.-SLA7519923-03-2022)
Ref.No.3594                                                                                                                   Date:                    12/10/2020
PAN:       AHRPA4504H
SAC       917162
insurance Auxillary Service
State &State CodeUttar Pradesh,09)

INSURER DETAILS
Name                                   M/S-Bajaj Allianz General Insurance company Limited
Addresh                                C-31,Sector-2,2nd floor,Near NirulasNoida,U.P.-201301
GSTIN                                    09AABCB5730G1ZV
State                                      UTTAR PRADESH
State Code                                9

CLAIM DETAILS
Claim No.                                 0C-21-1103-1802-00001832
Policy No.                                 OG-21-3028-1802-00000123
Vehicle No.                                UP 37 F4231
Insured                                    MR LALIT KUMAR
Date Of Loss                              03-Oct-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                         400
 CONVYENCE                             MEERUT TO HAPUR                           80*7.5=600                                                     600
Photos                                                                    100@     1
Others
                                                                                                         Total Amount                                          1000

Account Detail
Account No.                              50100120988818
IFSC Code                               HDFC0000655                                                                                    ANHAN
Bank Name                               HDFC BANK LTD.MEERUT
                                                                                                                                  (JAVED ALY CHAUAHAN)
                                                                                                                                      sueofLoor
                                                                                                                                                      15199
                                                             Ho.No-70,Sector-10 Shastri Nagar Meerut -250001U.P]          S

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