SURVEY FEE BILL
                                                                          JAVED ALI CHAUAHAN
                                                                              surveyor &Loss Assessor
                                                                        Licence No.-SLA7519923-03-2022)
Ref.No.3698                                                                                                                    Date:                    18/11/2020
PAN:       AHRPA4504H
SAC:       917162
Insurance Auxillary Service
State &State CodeUttar Pradesh,(09)
INSURER DETAILS
Name                                    :M/S-Bajaj Allianz General Insurance company Limited
Addresh                                C-31,Sector-2,2nd floor,Near Nirulas,Noida,U.P-201301
GSTIN                                   09AABCB5730G1ZV
State                                        UTTAR PRADESH
State Code                                9
CLAIM DETAILS
Claim No.                                  OC-21-1103-1802-00002114
Policy No.                                 OG-20-1901-1802-00078042
Vehicle No.                               UP 15 BY 3167
Insured                                     MR MOHD SHAHZAD
Date Of Loss                              18-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                          550
 CONVYENCE                                                                                                                                                   300
Photos                                                                    1001
Others
                                                                                                          Total Amount                                           850

Account Detail
Account No.                              50100120988818
IFSC Code                                 HDFC0000655
Bank Name                             HDFC BANK LTD.MEERUT
                                                                                                                                  JAVEDALL CHAUANAN)
                                                                                                                                       sureyer&Loss Assessor
                                                             Ho. No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)                  75hap

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