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 07/10/2023
                                          Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0567                                                                      Dated: 24/02/2021
                                                     HSN/SAC 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.                           UP 86AD 8601
INSURED NAME            :        MR.VIKAS OM ARYA
CLAIM NO.                               OC-21-1103-1825-00006288
POLICY No.                                OG-21-9910-1825-00035774
ASSESSED LOSS              .        Rs. 15630/-


Professional
Professional Fee                                                                                                                                      750.00
Visit to workshop                                 Rohini To Baghpat, UP 110*4                                                         440.00
RE-Inspection Charges                        Rohini To Baghpat, UP 110*4                                                         440.00
Under repair                                                                                                                                                0.00
Spot verification Fee                                                                                                                                   0.00
TOTAL                                                                                                                                                 1630.00
CGST@9%:                                                                                                                                                146.70
SGST@9%                                                                                                                                                   146.7
GROUND TOTAL                                                                                                                               1923.40



Thanks & Regards
Rakesh Kumar
                       H
              *                  be
                 SLA-610DY
                   Signatopge

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