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 07/10/2023
                                      Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0579                                                                Dated: 27/02/2021
                                                 HSN/SAC 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 1CAC 6946
INSURED NAME           :       MR.JASVINDER SINGH
CLAIM NO.                    :       0C-21-1101-1801-00010283
POLICY No.                    :       0G-21-1104-1801-00010313
ASSESSED LOSS             :       Rs. 7900/-


Professional
Professional Fee                                                                                                                           500.00
Visit to workshop                                                                                                                         150.00
RE-Inspection Charges                                                                                                                     0.00
Under repair                                                                                                                                   0.00
Spot verification Fee                                                                                                                        0.00
TOTAL                                                                                                                                      650.00
CGST@9%:                                                                                                                                     58.50
SGST@9%                                                                                                                                        58.5
GROUND TOTAL                                                                                                                     767.00



Thanks & Regards
Rakesh Kumar

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