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/2020/21/0144                                                                  Dated: 19/08/2020
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 11B 6834
INSURED NAME           :       MR. SATYA PRAKASH
CLAIM NO.                    :       0C-21-1101-1826-00000323
POLICY No.                              0G-20-3366-1826-00000041
ASSESSED LOSS             :       Rs. 5607/-


Professional
Professional Fee                                                                                                                            400.00
Visit to workshop                                                                                                                          150.00
RE-Inspection Charges                                                                                                                      0.00
Under repair                                                                                                                                     0.00
Spot Inspection fess                                                                                                                           0.00
TOTAL                                                                                                                                       550.00
CGST@9%:                                                                                                                                       49.50
SGST@9%                                                                                                                                          49.5
GROUND TOTAL                                                                                                                      649.00


Thanks & Regards
Rakesh Kumar
Surveyors&Ioss Assessors.

    SLA11971
(Authorizejg Signatojy)

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