RAJEEV BATRA
                                                                      (Surveyor& Loss Assessor)
Licence No.SLA/72709 Valid upto 22/03/2022                                                                      Ph. (M)9810143600
IISLA MEMBERSHIP NO.-A/N/05042                                                                                          (0) 8800174968
B-30,3rd FLOOR(BACK SIDE)                                                                                                       (R) 011-27672404
MAHATMA GANDHI ROAD                                                                                                    Email: r.batra@yahoo.co.in
ADARSH NAGAR,DELHI-110033
                                                                               Survey Fee Bill
To,
       Bajaj Allianz General Insurance Co.Ltd.                                                         Bill.No B-03-21-07100
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                    Date24/03/2021
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                    CodeNil
       GSTIN:07AABCB5730G1ZZ              State Code : Delhi 07
                  Report Ref No                     RB/BAJ/20-21/07776
                  Vehicle No.                         DL-8-CR-6561
                  Insured Name               :    MR AVINASH AGARWAL
                   Date Of Accident                 19-Mar-21
                   Policy/cover note no           OG-21-1101-1801-00010414
                  Claim No                       :    OC-21-1101-1801-00011117

    S No                                        Particulars                                                HSN/SAC                                Amount
       1    Final                                                                                                 997162                                         650.00
                     Professional Fee:       Assessed Amount 3,000.00                                           500.00
                     Photos/CD Expenses:                                                                                            0.00
                      0 Photographs,Charged for 0@ Rs.0.00
                     Conveyance Expenses:                                                                                      150.00

                                                                                                                                      Sub Total:               650.00
                                                                                                                                  C GST @9.00 %                  58.50
                                                                                                                                  S GST @ 9.00 %                  58.50
               ADVANCE RECEIPT                                                                                   Grand Total                767.00
                                                                                                                                      Roundoff:                767.00
                                                          In words :Rs. Seven Hundred Sixty Seven Only
   GSTIN:07AIGPB7033E1ZQ State :(07)                                         RAJEEVBATRA
   PAN.AIGPB7033E
   Bank Name:PUNJAB NATIONALBANK
   A/c.No.             0618000100079039
   MICR No          110024109                                                        SURVEYOR&LOSSASSESSOR.

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