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/2020/21/0428                                                                     Dated: 24/12/2020
                                                     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.                 :        DL 1LAD 4284
INSURED NAME           :        MR.DEEPAK SAHNI
CLAIM NO.                     :        OC-21-1101-1803-00000791
POLICY No.                      :        0G-21-1104-1803-00003352
ASSESSED LOSS              :        Rs. 46500/-


Professional
Professional Fee                                                                                                                                   1250.00
Visit to workshop                                                                                                                                   150.00
RE-Inspection Charges                                                                                                                          150.00
Under repair                3 Visit                                                                                                                450.00
Spot verification Fee                                                                                                                                  0.00
TOTAL                                                                                                                                               2000.00
CGST@9%:                                                                                                                                              180.00
SGST@9%                                                                                                                                                    180
GROUND TOTAL                                                                                                                             2360.00



Rakesh Kumar
Surveyors & Lbss Assessors.
              5015
(Authorized Signatory)

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