Licence No. 58528 valid upto 27.02.2026	E-Mail - sanjay.111.singh@gmail.com
GSTIN NO. 09AOTPS2606F2ZK				      Mob. No. : 91-9415118111
Er. Sanjay Kumar Singh					   M-55, Amreshpuri Colony
Surveyor, Loss Assessor & Investigator			Rae Bareli - 229001 (U.P.)
	EEE									EEEE
					   FEE BILL
				   MOTOR FINAL SURVEY REPORT
BILL NO.    BAJAJS498						   DATE :  30.12.2023
Policy No. OG-24-9910-1870-00043981	    Insurance Company : BAJAJ ALLIANZ GEN. INS. CO. LTD.
									  15/54-B, 2ND FLOOR
									  VIRENDRA SMRATI COMPLEX
									  CIVIL LINES
									  KANPUR-208001
									  GSTIN NO. 09AABCB5730G1ZV
Type of Cover PACKAGE POLICY		     Insurance Company
									  OC-24-1302-1870-00001530
							  Claim No.
Validity	      4-Aug-23
							  Sum Insured
			  3-Aug-24
Insurers BAJAJ ALLIANZ GEN. INS. CO. LTD.
Insured  Mr. AMIT KUMAR
Financers
Registered Owner : Mr. AMIT KUMAR
Registration No. : UP77AK5797
PROFESSIONAL FEE		 ==>>	500.00
Convence FEE				  0.00
TOTAL				       500.00
CGST @ 9%				     45.00
SGST @ 9%				     45.00
						590
									       SLA	Th
RUPEES FIVE HUNDRED & NINETY ONLY					   58528
										    *

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