RAKESH KUMAR
                                                SURVEYOR & LOSS ASSESSOR
FLAT NO. 417, C-1, Muskan Appartment, Sector-17, Rohini, New Delhi-89
                                  Mob.#9868110525/8836301125
                                  E-mail: majokarakesh61197@gmail.com
                                  License No. SLA-61197, Valid upto 07/10/2020
                                  Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0145                                                               Dated: 19/08/2020
HSN 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.               :       DL 8SCU 0116
INSURED NAME          :       MR. SALEEM KHAN
CLAIM NO.                            0C-21-1101-1826-00000375
POLICY No.                    :       OG-20-1103-1826-00004621
ASSESSED LOSS                     Rs. 5200/-


Professional
Professional Fee                                                                                                                         500.00
Visit to workshop                                                                                                                       150.00
RE-Inspection Charges                                                                                                                   0.00
Under repair                                                                                                                                 0.00
Spot Inspection fess                                                                                                                       0.00
TOTAL                                                                                                                                    650.00
CGST@9%:                                                                                                                                    58.50
SGST@9%                                                                                                                                       58.5
GROUND TOTAL                                                                                                                   767.00


Thanks & Regards
Rakesh Kumar
Suryeyors & Loss Assessors.

(Authorized Sighatory)
Punjab National Bank,Shivaji Marg,Kirti Nagar,New Delhi.A/c.:-0148000100975603

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