SURVEY FEE BILL
                                                                              JAVED ALI CHAUAHAN
                                                                                   surveyor & Loss Assessor
                                                                           Licence No.-SLA7519923-03-2022)
Ref.No.:3486                                                                                                                           Date:                     16/09/2020
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-2,2nd floor,Near Nirulas,NoidaU.P.-201301
GSTIN                                       09AABCB5730G1ZV
State                                          UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                    OC-21-1103-1802-00001470
Policy No.                                   OG-20-1901-1802-00057709
Vehicle No.                                 UP 15BK 6475
Insured                                       MR SHAHRUKH
Date Of Loss                                08-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                                  400
CONVYENCE                                                                                                                                                           300
                                               :
Photos                                                                        100@      1
Others                                    :
                                                                                                                Total Amount                                             700

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

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