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/2020/21/0573                                                                      Dated: 26/02/2021
                                                     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 1LAD 7164
INSURED NAME            :        MR.SADHAN SHIL
CLAIM NO.                     :        OC-21-1101-1803-00001077
POLICY No.                      :        OG-20-1149-1803-00008156
ASSESSED LOSS              :       Rs. 3000/-


Professional
Professional Fee                                                                                                                                      500.00
Visit toj 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
                         KUMAR
                KESH
Surveyors & LossAssessors.
                  SLA-61187
             3                       nar.

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