SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                                 surveyor &Loss Assessor
                                                                          Licence No.-SLA75199 (23-03-2022)
Ref.No.:3528                                                                                                                       Date:                    26/09/2020
PAN:       AHRPA4504H
SAC:       917162
Insurance Auxillary Service
State &State Code:Uttar Pradesh,(09)
INSURER DETAILS
Name                                     :M/S-Bajaj Allianz General Insurance company Limited
Addresh                                     C-31,,Sector-2,2nd floorNear Nirulas,NoidaU.P.-201301
GSTIN                                      09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                 9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1802-00001535
Policy No.                                  OG-20-3368-1802-00000774
Vehicle No.                                 UP 15 CK4163
Insured                                      MR AHMAD SHIBLI
Date Of Loss                               13-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                              550
 CONVYENCE                                                                                                                                                       300
Photos                                                                      100@      1
Others
                                                                                                             Total Amount                                            850

Account Detail
Account No.                               50100120988818
IFSCCode                                  HDFC0000655
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                       JAVED ALI CHAUAHAN)
                                                                                                                                           suiveyor&Loss Assessor
                                                               Ho.No-70,Sector-10 Shastri Nagar Meerut -250001U.P)  Hak

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