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/2020/21/0258                                                                 Dated: 26/10/2020
                                                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.                :       UP 17Q 0745
INSURED NAME           :       DEEPAK
ClaIM no.                    :       OC-21-1103-1828-00000314
Policy No.                    :       0G-19-4058-1828-00000049
ASSESSED LOSS             :       Rs. 3200/-


Professional
Professional Fee                                                                                                                           400.00
Visit to workshop                         Rohini to Khekra Baghpat, Gzb 84*4                                               336.00
RE-Inspection Charges                                                                                                                     0.00
Under repair                                                                                                                                   0.00
Spot inspection Fee                                                                                                                          0.00
TOTAL                                                                                                                                      736.00
CGST@9%:                                                                                                                                      66.24
SGST@9%                                                                                                                                       66.24
GROUND TOTAL                                                                                                                     868.48


Thanks & Regards
Rakesh Kumar
Surveyors & Loss Assessors.

(Authorized Signatory)

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