RAJEEV BATRA
                                                                     (Surveyor & Loss Assessor)
  cence No.SLA/72709 Valid upto 22/03/2022                                                                     Ph. M)9810143600
IIISLA MEMBERSHIP NO.-A/N/05042                                                                                         (0)8800174968
B-30,3rd FLOOR(BACK SIDE)                                                                                                      (R)011-27672404
MAHATMA GANDHI ROAD                                                                                                  Email:r.batra@yahoo.co.in
ADARSH NAGAR,DELHI-110033
                                                                              Survey Fee Bill
To,
       Bajaj Allianz General Insurance Co. Ltd.                                                         Bill.No: B-11/20/06456
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                   Date   19/11/2020
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                   Code   Nil
       GSTIN:07AABCB5730G1ZZ              State Code : Delhi (07)
                  Report Ref No                     RB/BAJ/20-21/07070
                  Vehicle No.                         DL 12SG 8848
                  Insured Name               :    M/S RGICON
                  Date Of Accident           :    05/11/2020
                  Policy/cover note no    :    OG-21-1104-1802-00006708
                  Claim No                      :    OC-21-1101-1802-00001950

    S No                                       Particulars                                                HSN/SAC                               Amount
      1   Final                                                                                                997162                                        450.00
                     Professional Fee:       Assessed Amount 4,011.00                                           450.00
                     Photos/CD Expenses:                                                                                           0.00
                     0 Photographs, Charged for 0@ Rs.0.00
                     Conveyance Expenses:                                                                                        0.00

                                                                                                                                    Sub Total               450.00
                                                                                                                                C GST @9.00 %                 40.50
                                                                                                                                S GST @ 9.00 %                  40.50
               ADVANCE RECEIPT                                                                                  Grand Total                531.00
                                                                                                                                    Round off:               531.00
                                                            In words : Rs. Five Hundred Thirty One Only
   GSTIN:07AIGPB7033E1ZQ State :(07)                                         RAJEEV BATRA
   PAN.AIGPB7033E
   Bank Name:PUNJAB NATIONAL BANK
   A/c No.            0618000100079039
   MICR No          110024109                                                       SURVEYOR&LOSSASSESSOR.
   IFS Code          PUNB0184500

---PAGE END---