SURVEY FEE BILL
                                                                           JAVED ALICHAUAHAN
                                                                                surveyor &Loss Assessor
                                                                         Licence No.-SLA75199(23-03-2022)
Ref.No.3508                                                                                                                      Date:                    22/09/2020
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
GSTIN                                       09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                 9
CLAIM DETAILS
Claim No.                                  OC-21-1103-1802-00001441
Policy No.                                  OG-20-1904-1802-00036728
Vehicle No.                                UP 14 DR 1021
Insured                                      MR GAURAV SHARMA
Date Of Loss                               06-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                             400
 CONVYENCE                              MEERUT TO BAGHPAT                         140*7.5=1050                                                   600
Photos                                                                     100@      1
Others
                                                                                                            Total Amount                                          1000

Account Detail
Account No.                               50100120988818
IFSC Code                                  HDFC0000655
Bank Name                               HDFC BANK LTD.MEERUT
                                                                                                                                     JAVED AL CHAUAHAN)
                                                                                                                                         surveyor oss Astesr
                                                              Ho.No-70,Sector-10 Shastri Nagar Meerut-250001(U.P)         K

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