K..RAZENDHIRANE B.E., B. S., FIIISLA., F.I.L.A, LISLA Insurance Surveyour/Loss Assessor Member Ship"Fellow" - FS/03749 -SLA 35136Validity :02.12.2022 Off: 11A, Vallalar Road, Kamaraj Nagar, Pondicherry -605011 Res: No.2, Mariamman Koil Street, Kurumbapet, Pondicherry -605009. e-mail : razendhirane@gmail.com, Mobile No:9842333589,9629933589, Tel No:0413-4207797. PAN No: AETPR1940K GST No: 34AETPR1940K1Z0 TAX INVOICE for the SERVICE PROVIDED in duplicate Reverse Charge: Place of survey Mayiladuthurai Invoice No.: 159 Invoice Date: 27.07.2020 Details of Receiver | Billed to: 12 Name M/s. Bajaj Allianz General Insurance Co Ltd Address Chennai GSTIN 33AABCB5730G1Z4 Policy Number OG-20-1529-1803-00005356 Claim Motor OD Claims Claim Number OC-21-1501-1803-00000086 Insured Name Mr. R. Natesan Name of Product/|HSN/ Taxable Total S.NoService SAC Amount Value CGST SGST IGST amount Rate Amount Rate AmouniRate Amount Insurance Claims adjustment 1 services 997162 3470.00 0% 0.00 0% 0.00 18% 624.60 Total amount 4094.60 No Details 1 Professional Fees 1500.00 2 Photo Charges CD 50.00 2 Conveyance Charges 240 Km X Rs.8/- 1920.00 3 Batta / Halting charge 0.00 4 Postal/Misc Charges Total 3470.00 Total Invoice Amount in Words: Total Amount Before Tax 3470.00 ADD:CGST 9 0.00 ADD:SGST 9 0.00 Bank Details : ADD:IGST 18 624.60 Bank Account No : 005601024553 Tax Amount : GST 4094.60 Bank Branch IFSC : ICICO000056 Name of the Account K.RAZENDHIRANE GST Payable on Reverse Charge : Branch Name Mission Street, Pondicherry Type Saving K.RAZENDHIRANE, SLAMO K.RAZENHIRANE,B.E.B.SC. 35136 X SURVEYSK/LCSSASSESSOR DONDY ---PAGE END---