SURVEY FEE BILL
                                                                          JAVED ALI CHAUAHAN
                                                                               surveyor & Loss Assessor
                                                                        Licence No.-SLA75199 (23-03-2022)
Ref.No.:3694                                                                                                                    DateB                   17/11/2020
PAN:       AHRPA4504H
SAC:       917162
insurance Auxiliary 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-21-1103-1802-00002097
Policy No.                                 OG-21-3369-1802-00000660
Vehicle No.                                UP 15 BM 1198
insured                                    MRRANDHEER
Date Of Loss                              10-Oct-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                          400
 CONVYENCE                                                                                                                                                   300
Photos                                                                    100@     1
Others
                                                                                                          Total Amount                                           700

Account Detail
Account No.                              50100120988818
IFSCCode                                 HDFC0000655
Bank Name                               HDFC BANK LTD.MEERUT
                                                                                                                                   JAVED ALLCHAUAHAN)
                                                                                                                                       supreyoFeLdss
                                                             Ho.No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)
                                                        Mob.-9719999792,01212703392,Email-jachauhan73@gmail.c        SKA         *
                                                                                                                                                  75199

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