Ali Imran Sayeed
INSURANCE SURVEYOR & LOSS ASSESSOR IRDA
LICENCE NO- SLA74708, VALID UPTO- 19.12.2022
Phone- +91 8888865478. Email-reachaliimran@gmail.com
Bill No.: 20/03/1958 Date: 9-Mar-21
To,
M/S BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD.
BLOCK NO 603, 7TH FLOOR, SHRI RAM SHYAM TOWER,
KINGSWAY, SADAR, NEAR NIT BUILDING,
NAGPUR 440001 Phone No 0712-3052136
GSTIN Number : 27AABCB5730G1ZX
Subject : Kindly arrange to pay the survey fees for above bill no of Rs.4,897
Insurer BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD.BLOCK NO 603, 7TH FLO
Policy No 0G-21-3741-1803-00000043
Claim No OC-21-2101-1803-00000218
Policy Holder SHEIKH JAINUDDIN MAHEMUD ALI SHEIKH
Vehicle No MH04DK1411
Survey Dated 26-Feb-21 LOCATION :
Place of survey LOCAL WORKSHOP PANDHARKAWDA
Total Assessment Rs. 33,450
Remark
Particulars SAC CODE
Professional Fees FINAL 997162 Rs 1250
PHOTOS 997162 Rs 0
160 997162 1200
Conveyance (To & Fro in Kms) Rs
SPOT FEES 997162 Rs 500
Spot Conveyance (To & Fro in Kms) 997162 Rs 1200
Total Rs. 4,150
Add CGST @ 9% (GST NO 27BQFPS9700K1ZC) Rs.374
Add SGST @ 9% (GST N0 27BQFPS9700K1ZC) Rs.374
Add IGST @ 18% (GST NO 27BQFPS9700K1ZC) 0
Total Bill Amount Rs.4,897
In words:
PAN No. BQFPS9700K
GST NO 27BQFPS9700K1ZC
SLA
SE 74708
SAC CODE 997162
STATE
27 Maharashtra
CODE
(Ali Imran Sayeed)
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