SURVEY FEE BILL
                                                                                                   JAVED ALI CHAUAHAN
                                                                                                        surveyor&Loss Assessor
                                                                                                Licence No.-SLA75199 (23-03-2022)
                 Ref.No.3473                                                                                                                                          Date:                          09/09/2020
                 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                                           C-31,Sector-2,2nd floor,Near Nirulas,NoidaU.P.-201301
                GSTIN                                             09AABCB5730G1ZV
                State                                                UTTAR PRADESH
                State Code                                            9
                 CLAIM DETAILS
                Claim No.                                             OC-21-1103-1802-00001266
                Policy No.                                            OG-21-1901-1802-00033404
                Vehicle No.                                           UP13 BH 8753
                Insured                                               MR NEERAI GUPTA
                Date Of Loss                                          27-Aug-20
                DESCRIPTION OF SERVICES
                PROFESSIONALFEE                                  :                                                                                                                                       550
                 CONVYENCE                                       :    MEERUTTO BULANDSAHAR                                   150*7.5=1125                                                                600
                Photos                                                                                  100     @        1
                Others                                           :
                                                                                                                                     Total Amount                                                       1150
                Account Detail
                Account No.                                          50100120988818
               IFSCCode                                              HDFC0000655
                Bank Name                                            HDFC BANK LTD.MEERUT
                                                                                                                                                                 (JAVED ALI CHAUAHAN)
                                                                                                                                                                     surveyor & Loss As assor
                                                                                   Ho. No70, Sector-10 Shastri Nagar Meerut -250001U.P)
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