RAJEEV BATRA
                                                                      (Surveyor & Loss Assessor)
Licence No.SLA/72709 Valid upto 22/03/2022                                                                      Ph.M)9810143600
IIISLA MEMBERSHIP NO.-A/N/05042                                                                                          (0) 8800174968
B-30,3rd FLOOR(BACK SIDE)                                                                                                       (R) 011-27672404
MAHATMA GANDHI ROAD                                                                                                   Email: r.batra@yahoo.co.in
ADARSH NAGAR,DELHI-110033
                                                                               Survey Fee Bill
To,
       Bajaj Allianz General Insurance Co. Ltd.                                                         Bill.No:B-08/20/05972
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                    Date   01/08/2020
       7TH FLOOR,DLF TOWER,SHIVAJI MARG,NEW DELHI                                    Code  Nil
       GSTIN:07AABCB5730G1ZZ               State Code :Delhi 07
                  Report Ref No                     RB/BAJ/20-21/06538
                  Vehicle No.                         HR-10-AE-0344
                  Insured Name                     MR NEPAL
                   Date Of Accident           :    26/07/2020
                  Policy/cover note no     :    OG-20-9906-1802-00252348
                   Claim No                       :    OC-21-1103-1802-00000816

    SNo                                        Particulars                                                HSN/SAC                                Amount
       1     Final                                                                                                 997162                                      1,232.00
                     Professional Fee:       Assessed Amount 3,100.00                                           400.00
                     Photos/CD Expenses:                                                                                            0.00
                      0 Photographs,Charged for 0@Rs.0.00
                     Conveyance Expenses:                                                                                      832.00
                      Vehicle inspected at Balhara automobile at kharkhoda,sonipat@104km x 8
                                                                                                                                       Sub Total            1,232.00
                                                                                                                                  C GST @9.00%                110.88
                                                                                                                                  S GST @ 9.00 %                110.88
                ADVANCE RECEIPT                                                                                   Grand Total             1,453.76
                                                                                                                                      Round off:             1,454.00
                                                  In words : Rs. One Thousand Four Hundred Fifty Four Only
   GSTIN:07AIGPB7033E1ZQ State :(07)                                          RAJEEVBATRA
   PAN.AIGPB7033E
   Bank Name:PUNJAB NATIONAL BANK
   A/c.No.             0618000100079039                                                     ELA-
   MICR No          110024109                                                       SURVEYOR&LOSSASSESSOR.

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