SURVEY FEE BILL
                                                                             JAVED ALI CHAUAHAN
                                                                                  surveyor & Loss Assessor
                                                                           Licence No.-SLA75199(23-03-2022)
Ref.No.3535                                                                                                                         Date:                     27/09/2020
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 NirulasNoida,U.P.-201301
GSTIN                                        09AABCB5730G1ZV
State                                          UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                   0C-21-1103-1802-00001543
Policy No.                                   OG-21-1104-1802-00000841
Vehicle No.                                 UP 14 CV 2474
Insured                                      MR ARJUN SINGH RAWAL
Date Of Loss                               11-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                                400
 CONVYENCE                               MEERUT TO SIMBHAOLI                        100*7.5=750                                                      600
Photos                                                                       100@      1
Others
                                                                                                              Total Amount                                            1000

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

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