K.RAZENDHIRANE B.E., B. Sc., FIIISLA., F.I.L.A, USLA 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 No9842333589,9629933589,Tel No:0413-4207797. PAN No:AETPR1940K GST No:34AETPR1940K1Z0 TAX INVOICE for the SERVICE PROVIDED in duplicate Reverse Charge: Place of survey Chidambaram Invoice No.: 274 Invoice Date: 23.09.2020 Details of Receiver I Billed to: Name M/s. Bajaj Allianz General Insurance Co Ltd Address Regional office, Chennai GSTIN 33AABCB5730G1Z4 Policy Number OG-20-1529-1803-00023377 Claim Motor Claim Number OC-21-1501-1803-00000040 Insured Name Mr.Sivanantham Name of Product/HSN/ Taxable Total S.NoService SAC Amount Value CGST SGST IGST amount Rate Amount Rate Amoun Rate Amount Insurance Claims adjustment 1 services 997162 3950.00 0% 0.00 0% 0.00 18% 711.00 Total amount 4661.00 No Details 1 Professional Fees Assessed Amt Rs. 60500 1500.00 2 Photo Charges CD 50.00 3 Conveyance Charges 150 Km X 2 visit 2400.00 3 Batta/Halting charge 4 Postal/Misc Charges Total 3950.00 Total Invoice Amount in Words: Total Amount Before Tax 3950.00 ADD:CGST 9 0.00 ADD:SGST 9 0.00 Bank Details: ADD:IGST 18 711.00 Bank Account No : 005601024553 Tax Amount : GST 4661.00 Bank Branch IFSC: ICICO000056 Name of the Account K. RAZENDHIRANE GST Payable on Reverse Charge: Branch Name Mission Stret, Pondicherry Type Saving K.RAZENDHIRANE, SU OBSASSESSOR SLAG 35Y98 LICLNCNOSLA35138 ---PAGE END---