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/2020/21/0166                                                                   Dated: 29/08/2020
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 8SCU 8299
INSURED NAME           :       MR. SURENDER SINGH
CLAIM NO.                    :       0C-21-1101-1826-00000436
POLICY No.                     :       0G-21-1113-1826-00000031
ASSESSED LOSS             :       Rs. 3800/-


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.

 (Authorized Signatory)[LA29TE)
Punjab NattonalBank,Shivaji Marg,Kirti Nagar,New Delhi.A/c.:-0148000100975603

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