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/2020/21/0026                                                              Dated: 23/06/2020

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 14DV 3647
INSURED NAME                   MR. MUJEEBURRAHAMAN
CLAIM NO.                           0C-21-1101-1843-00000016
POLICY No.                            0G-20-1149-1843-00001694
ASSESSED LOSS                     Rs. 4300/-


Professional
Professional Fee                                                                                                                      450.00
Visit to workshop                                                                                                                    150.00
RE-Inspection Charges                                                                                                                0.00
Under Repair                                                                                                                             0.00
Spot Inspection fess                                                                                                                    0.00
TOTAL                                                                                                                                 600.00
CGST@9%:                                                                                                                                54.00
SGST@9%                                                                                                                                     54
GROUND TOTAL                                                                                                                 708.00


Thanks & Regards
Rakesh Kumar
       KESHKUA
 syeyors &Loss Assessors.
  SSLA-61197
   urhorized Sighatory)
        LOSSAST

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