SURVEY FEE BILL
                                                                             JAVED ALI CHAUAHAN
                                                                                  surveyor &Loss Assessor
                                                                           Licence No.-SLA7519923-03-2022)
Ref.No.3537                                                                                                                         DateB                     28/09/2020
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-21-1103-1802-00001534
Policy No.                                   OG-21-1901-1802-00003766
Vehicle No.                                 UP 37 H 8874
Insured                                      MR RAVI KUMAR
Date Of Loss                               11-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                                400
 CONVYENCE                               MEERUTTO SIMBHOLI                          100*7.5=750                                                      600
Photos                                                                       100@      1
Others
                                                                                                              Total Amount                                            1000

Account Detail
Account No.                                50100120988818
IFSCCode                                   HDFC0000655
Bank Name                                 HDFC BANK LTD.MEERUT
                                                                                                                                         (JAVED ALCHAUAHAN)
                                                                                                                                            Sarveyofss Assessor
                                                                Ho.No-70,Sector-10 Shastri Nagar Meerut-250001U.P)/

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