SURVEY FEE BILL JAVED ALI CHAUAHAN surveyor &Loss Assessor Licence No.-SLA75199 23-03-2022) Ref.No.3718 Date: 26/11/2020 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 VC-31,Sector-2,2nd floor,Near Nirulas,NoidaU.P.-201301 GSTIN 09AABCB5730G1ZV State UTTAR PRADESH State Code 9 CLAIM DETAILS Claim No. 0C-21-1103-1802-00002153 Policy No. OG-21-4058-1802-00000050 Vehicle No. UP 19 C 8440 Insured MR ASHOK KUMAR Date Of Loss 27-0ct-20 DESCRIPTION OF SERVICES PROFESSIONAL FEE 550 CONVYENCE MEERUT TO SHAMLI 140*7.5-1050 600 Photos 100@ 1 Others Total Amount 1150 Account Detail Account No. 50100120988818 IFSCCode HDFC0000655 Bank Name HDFC BANK LTD.MEERUT JAVED ALLCHAUA surveyofss Aor Ho.No-70,Sector-10 Shastri Nagar Meerut-250001(U.P) Mob.-9719999792,01212703392,Email-jachauhan73@gmail.com ---PAGE END---