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/2020/21/0236                                                                 Dated: 16/10/2020
                                                 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.                :       DL 8SCV 6142
INSURED NAME           :       MR. HEMANT KUMAR
CLAIM NO.                    :       OC-21-1101-1826-00000655
POLICY No.                    :       OG-21-1103-1826-00000596
ASSESSED LOSS                     Rs. 3250/-


Professional
Professional Fee                                                                                                                             400.00
Visit to workshop                                                                                                                           150.00
RE-Inspection Charges                                                                                                                       0.00
Under repair                                                                                                                                     0.00
Spot inspection Fee                                                                                                                           0.00
TOTAL                                                                                                                                        550.00
CGST@9%:                                                                                                                                       49.50
SGST@9%                                                                                                                                          49.5
GROUND TOTAL                                                                                                                       649.00



Thanks & Regards
Rakesh Kumar
             ESHKUA
Suryfeyors& Ao    Assessors.
            SA:6]197
(Authorzec
              &00SS

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