RAKESH KUMAR
                                                 SURVEYOR &LOSSASSESSOR
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/2020/21/0055                                                                Dated: 09/07/2020

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 4SCU 4342
INSURED NAME           :       MR.JUMMAN
 CLAIM NO.                    :       0C-21-1101-1802-00000464
POLICY No.                             0G-20-9906-1802-00194477
ASSESSED LOSS                     Rs. 10800/-


Professional
Professional Fee                                                                                                                           500.00
Visit to workshop                                                                                                                         150.00
RE-Inspection Charges                                                                                                                 150.00
Under Repair                                                                                                                                  0.00
Spot Inspection fess                                                                                                                         0.00
TOTAL                                                                                                                                     800.00
CGST@9%:                                                                                                                                     72.00
SGST@9%                                                                                                                                           72
GROUND TOTAL                                                                                                                     944.00


Thanks & Regards
Rakesh Kumar
Surveyors& Loss Assessors.

Athortadsiggatory
Pun}oNationatank,Shivaji Marg,Kirti Nagar,New Delhi.A/c.:-0148000100975603

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