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 07/10/2020
                                          Pan No.AHEPK2434R/GST No.07AHEPK2434R2ZZ
Ref:- BAJAJ/FINAL/2020/21/0082                                                                 Dated: 22/07/2020
HSN 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 3SAU 4591
INSURED NAME           :       MR. SATYAJIT DEO
CLAIM NO.                    :       0C-21-1101-1843-00000038
POLICY No.                              0G-20-9906-1843-00018495
ASSESSED LOSS                      Rs. 5100/-


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


Thanks & Regards
Rakesh Kumar
Surveyors& boss Assessors.

        SUAS
  thorizegSignatony)

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