SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                                 surveyor&Loss Assessor
                                                                          Licence No.-SLA75199(23-03-2022)
Ref.No.:3473                                                                                                                       Date:                    09/09/2020
PAN:       AHRPA4504H
SAC       917162
Insurance Auxillary Service
State & State Code:Uttar Pradesh(09)
INSURER DETAILS
Name                                     :M/S-Bajaj Allianz General Insurance company Limited
Addresh                                  C-31,Sector-22nd floor,Near Nirulas,NoidaU.P.-201301
GSTIN                                       09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                 9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1802-00001266
Policy No.                                   OG-21-1901-1802-00033404
Vehicle No.                                 UP 13 BH 8753
Insured                                      MR NEERAI GUPTA
Date Of Loss                               27-Aug-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                              550
 CONVYENCE                              MEERUTTO BULANDSAHAR                   150*7.5=1125                                                    600
Photos                                                                      100@      1
Others
                                                                                                             Total Amount                                           1150

Account Detail
Account No.                               50100120988818
IFSC Code                                  HDFC0000655
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                       (JAVED ALI CHAUAHAN)
                                                                                                                                           surveyor & LossAstassor
                                                               Ho. No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)

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