SURVEY FEE BILL
                                                                             JAVED ALI CHAUAHAN
                                                                                  surveyor& Loss Assessor
                                                                           Licence No.-SLA75199(23-03-2022)
Ref.No.3621                                                                                                                          Date:                     22/10/2020
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
GSTIN                                      09AABCB5730G1ZV
State                                          UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                    OC-21-1103-1802-00001162
Policy No.                                   OG-20-2001-1802-00022963
Vehicle No.                                 UP 16 BU 8344
Insured                                      MR RAVI KUMAR
Date Of Loss                                04-Aug-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                                 550
 CONVYENCE                              MEERUT TO SHAMLI                            140*7.5-1050                                                     600
Photos                                                                        100@      1
Others
                                                                                                               Total Amount                                            1150

Account Detail
Account No.                                50100120988818
IFSCCode                                   HDFC0000655
Bank Name                              HDFC BANK LTD.MEERUT
                                                                                                                                         JAVED ALI CHAUAHAN)
                                                                                                                                             surveyor&LossAfsesor
                                                                                                                                                K
                                                                Ho. No-70,Sector-10 Shastri Nagar Meerut-250001(U.P)

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