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/2020/21/0142                                                                 Dated: 18/08/2020
 HSN 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 14EL 0474
 INSURED NAME           :       MR. RIYAZUDEEN
 CLAIM NO.                    :       0C-21-1103-1826-00000452
POLICY No.                    :       0G-21-1103-1826-00000301
ASSESSED LOSS             :       Rs. 1538/-


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


Thanks & Regards
Rakesh Kumar
Surveyors&Loss Assessors.
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