License No. SLA -73766
Valid Up to : 05-10-2024		   Mobile (S) :9990929990
Pan card no. :AHRPA8488Q		      E-Mail : msadhikari77@gmail.com
		     MANOHAR ADHIKARI
			   Surveyor & Loss Assessor
		  C/o Harinagar Nayak, Near DAV School, Haldwani,Uttrakhand
			      Survey Fee Bill
To,
   Bajaj Allianz General Insurance Co. Ltd Bill No.: B-02-24-02521
   NEW DELHI				  Date : 26/02/2024
   NEW DELHI,WEST DELHI -110015		Code  :
   GSTIN:07AABCB5730G1ZZ State Code :NEW DELHI 07)
       Report Ref No M S/BAGI/04U6786/02-24/F/02718
       Vehicle No. UK04U6786
       Insured Name   : MS. NAGMA ARIF
       Date Of Accident : 07-Feb-24       Assessed :       24,920.00
       Policy/cover note no : OG-24-9910-1801-00174779 Estimate : 0.00
       Claim No OC-24-1103-1801-00013379       IDV     :  507,909.00
 SNO	 Particulars		  HSN/SAC	   Amount t
  1 Final				  997162	     1,500.00
       Professional Fee : Assessed Amount  24,920.00 1,250.00
	Photos/CD Expenses:			    0.00
	0 Photographs  Charged for 0 @Rs. 0.00
       Conveyance Expenses:			  250.00
  2 ReInspection			   997162	       250.00
	Professional Fee :			      0.00
	Photos/CD Expenses			      0.00
	0 Photographs  Charged for 0 @ Rs. 0.00
       Conveyance Expenses:			  250.00
						    Sub Total: 1,750.00
						  CGST @9.00%   157.50
						  S GST @ 9.00 % 157.50
     ADVANCE RECEIPT			Grand Total :     2,065.00
						    Round off: 2,065.00
		       In words  Rs. Two Thousand Sixty Five Only
 GSTIN:07AHRPA8488Q1Z9 State :07)
 PAN.AHRPA8488Q
 Bank Name :HDFC BANK LTD
 ACNo. 50200085453100			    MANOARADHIKARI
 MICR No 110240116
 IFS Code						    Assessor
	  : HDFC0000932
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