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/2020/21/0170                                                                 Dated: 04/09/2020
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 1LAD 7164
INSURED NAME           :       MR. SADHAN SHIL
CLAIM NO.                    :       0C-21-1101-1803-00000344
POLICY No.                    :       0G-20-1149-1803-00008156
ASSESSED LOSS             :       Rs. 15600/-


Professional
Professional Fee                                                                                                                            750.00
Visit to workshop                                                                                                                          150.00
RE-Inspection Charges                                                                                                                  150.00
Under repair                                                                                                                                 150.00
Spot Inspection fess                                                                                                                          0.00
TOTAL                                                                                                                                     1200.00
CGST@9%:                                                                                                                                     108.00
SGST@9%                                                                                                                                          108
GROUND TOTAL                                                                                                                    1416.00


Thanks & Regards
Rakesh Kumar
Surveyors & Loss Assessors.

Authorized Signatory)

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