SURVEY FEE BILL
                                                                                                     JAVED ALI CHAUAHAN
                                                                                                          surveyor & Loss Assessor
                                                                                                  Licence No.-SLA75199_23-03-2022)
                   Ref.No.3480                                                                                                                                          Date:                          15/09/2020
                  PAN:              AHRPA4504H
                  SAC:             917162
                  Insurance Auxillary Service
                  State &State Code:Uttar Pradesh,(09)
                  INSURER DETAILS
                  Name                                              M/S-Bajaj Allianz General Insurance company Limited
                  Addresh                                            C-31,Sector-2,2nd floor,Near Nirulas,Noida,U.P.-201301
                 IGSTIN                                             :09AABCB5730G1ZV
                  State                                             UTTAR PRADESH
                  State Code                                           9
                  CLAIM DETAILS
                  Claim No.                                             OC-21-1103-1802-00001228
                 Policy No.                                            0G-21-2901-1802-00004101
                  Vehicle No.                                           UP 19 9925
                  Insured                                               MRIKHLAK
                  Date Of Loss                                          22-Aug-20
                  DESCRIPTION OF SERVICES
                  PROFESSIONAL FEE                                                                                                                                                                         550
                   CONVYENCE                                        :  MEERUT TO SHAMLI                                        140*7:5=T050                                                               600
                  Photos                                                                                  100    @          1
                  Others
                                                                                                                                       Total Amount                                                       1150
                  Account Detail
                  Account No.                                          50100120988818
                  IFSC Code                                            HDFC0000655
                  Bank Name                                            HDFC BANK LTD.MEERUT
                                                                                                                                                                   (JAVED ALI CHAUAHAN)
                                                                                                                                                                        Surveyor&Loss Asses
                                                                                     Ho.No 70,Sector 105hastri Nagar Meerut -250001U.                                                   SLA
                                                                                Mob.-9719999792,01212703392,Email-jachauhan73@gmail.com                                   TX
                                                                                                                                                                                      75190
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