SURVEY FEE BILL
                                                                               JAVED ALI CHAUAHAN
                                                                                    surveyor&Loss Assessor
                                                                            Licence No.-SLA75199(23-03-2022)
Ref.No.:3577                                                                                                                            Date:                     08/10/2020
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-31Sector-2,2nd floorNear NirulasNoida,U.P.-201301
GSTIN                                      09AABCB5730G1ZV
State                                           UTTAR PRADESH
State Code                                   9

CLAIM DETAILS
Claim No.                                    OC-21-1103-1802-00001815
Policy No.                                    OG-21-1901-1802-00026887
Vehicle No.                                  UP37J5510
Insured                                       MR MOHD YAMEEN
Date Of Loss                                28-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                                    400
                                               :
 CONVYENCE                               MEERUTTO HAPUR                             80*7.5=600                                                         600
Photos                                                                         100@      1
                                               :
Others
                                                                                                                 Total Amount                                             1000

Account Detail
Account No.                                 50100120988818
IFSCCode                                    HDFC0000655
Bank Name                                 HDFC BANK LTD.MEERUT
                                                                                                                                            (JAVED ALI CHAUAHAN)
                                                                                                                                                surveyar

                                                                 Ho.No-70,Sector-10 Shastri Nagar Meerut -250001U.P)
                                                                                                                                                            S
                                                                                                                                                                              *

---PAGE END---