RAKESH KUMAR
                                                 SURVEYOR & LOSS ASSESSOR
 FLAT NO. 417, C-1, Muskan Appartment, Sector-17, Rohini, New Delhi-89
                                          Mob.#9868110525/8836301125
                                          E-mail: majokarakesh61197@gmail.com
                                          License No. SLA-61197, Valid upto 07/10/2020
                                          Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
 Ref:- BAJAJ/FINAL/2020/21/0185                                                                Dated: 16/09/2020
 HSN CODE:997162
 Bajaj Allianz General Insurance Company Limited.
Block No.4, 7th Floor, DLF Tower-15, Shivaji Marg, 011-66278225, New Delhi-110001.
GST Number:07AABCB5730GIZZ
 VEHICLE NO.                :       DL 8SCT 4285
INSURED NAME           :       MR. DINESH KUMAR
CLAIM NO.                    :       0C-21-1101-1826-00000512
POLICY NO.                             0G-20-4319-1826-00000063
ASSESSED LOSS                     Rs. 1700/-


Professional
Professional Fee                                                                                                                          400.00
Visit to workshop                                                                                                                        150.00
RE-Inspection Charges                                                                                                                    0.00
Under repair                                                                                                                                  0.00
Spot Inspection fess                                                                                                                         0.00
TOTAL                                                                                                                                     550.00
CGST@9%:                                                                                                                                    49.50
SGST@9%                                                                                                                                       49.5
GROUND TOTAL                                                                                                                    649.00



Thanks & Regards
Rakesh Kumar
Suryeyors & Loss Assessors.
     SASS
(AuthofizeSignatory

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