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/2020/21/0088                                                                Dated: 25/07/2020
 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 4SDC 1155
 INSURED NAME          :       MRS. PRIYA PANDEY
 CLAIM NO.                   :       0C-21-1101-1826-00000303
 POLICY No.                             0G-20-9906-1826-00008259
 ASSESSED LOSS                     Rs. 5100/-


 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
Surveyors &hoss Assessors.

(Authorzed sigHataty

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