SURVEY FEE BILL JAVED ALI CHAUAHAN surveyor&Loss Assessor Licence No.-SLA75199(23-03-2022) Ref.No.3610 Date: 20/10/2020 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-21-1103-1802-00001949 Policy No. OG-20-9906-1802-00575384 Vehicle No. UP37E7114 Insured MR PUNEET RANA Date Of Loss 12-0ct-20 DESCRIPTION OF SERVICES PROFESSIONALFEE 400 CONVYENCE MEERUT TO DHAULANA 100*7.5=750 600 Photos 100@ 1 Others Total Amount 1000 Account Detail Account No. 50100120988818 FSCCode HDFC0000655 Bank Name HDFC BANK LTD.MEERUT JAVED AL CHAUAHAN) surveyor&LbssAssessar Ho.No-70Sector-10 Shastri Nagar Meerut-250001U.P ---PAGE END---