RAKESH KUMAR
                                                   SURVEYOR & LOSS ASSESSOR
 FLAT NO. 417, C-1, Muskan Appartment, Sector-17, Rohini, New Delhi-89
                                        Mob.#9868110525/8836301125
                                        E-mail: najokarakesh61197@gmail.com
                                       License No. SLA-61197,Valid upto 07/10/2023
                                       Pan N&.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0338                                                                   Dated: 26/11/2020
                                                   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 17S 5329
INSURED NAME           :      MR.ANIL
CLAIM NO.                     :       OC-21-1103-1826-00001068
POLICY No.                              OG-21-1102-1826-00000507
ASSESSED LOSS                     .Rs. 6900/-


Professional
Professional Fee                                                                                                                                550.00
Visit to workshop                                 Rohini To Khekra,UP 84*4                                                        336.00
RE-Inspection Charges                                                                                                                          0.00
                                                                             :
Under repair                                                                                                                                         0.00
Spot inspection Fee                                                                                                                               0.00
TOTAL                                                                                                                                            886.00
CGST@9%:                                                                                                                                           79.74
SGST@9%                                                                                                                                            79.74
GROUND TOTAL                                                                                                                        1045.48



Thanks & Regards
Rakesh Kumar
                     LESHKUM
Surveyor  Los$   ssessors.
                   Cshl

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