SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                                 surveyor & Loss Assessor
                                                                          Licence No.-SLA7519923-03-2022)
Ref.No.3607                                                                                                                         Date:                    19/10/2020
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,Noida,U.P.-201301
GSTIN                                     09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                   OC-21-1103-1802-00001693
Policy No.                                   OC-20-1901-1802-00057329
Vehicle No.                                 UP15 CF 2259
Insured                                      MR AJARUDIN
Date Of Loss                               22-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONALFEE                                                                                                                                               400
CONVYENCE                          :                                                                                                                             300
Photos                                                                       100@      1
Others
                                                                                                             Total Amount                                            700

Account Detail
Account No.                               50100120988818
IFSCCode                                  HDFC0000655
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                        JAVED ALI CHAUAHAN)
                                                                                                                                           surveyor &dssbbesson*
                                                               Ho.No-70,Sector-10 Shastri Nagar Meerut-250001U.P)

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