SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                          Licence No.-SLA7519923-03-2022)
Ref.No.:3886                                                                                                                        Date:                    26/02/2021
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                                 C-31,Sector-2,2nd floor,Near Nirulas,Noida,U.P.-201301
GSTIN                                        09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                 9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1826-00001977
Policy No.                                   OG-21-1121-1802-00000662
Vehicle No.                                 UP 15 CP 1730
Insured                                      MR SHAHALAM TOMAR
Date Of Loss                               06-Oct-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                              1000
 CONVYENCE                          8  TWO VISIT                                       300*2=600                                                        600
Photos                                  :                                  100@      1
Others                                  8
                                                                                                             Total Amount                                           1600

Account Detail
Account No.                               50100120988818
IFSCCode                                   HDFC0000655
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                       (JAYEDATCHAUAHAN)
                                                                                                                                             oeyor&LoAs
                                                               Ho.No-70,Sector-10 Shastri Nagar Meerut -250001(U.P             SLAN
                                                         Mob.-9719999792,01212703392,Email-jachauhan73@gmaicom

---PAGE END---