SURVEY FEE BILL
                                                                         JAVED ALI CHAUAHAN
                                                                               surveyor&Loss Assessor
                                                                       Licence No.-SLA75199(23-03-2022)
Ref.No.:3524                                                                                                                    Date:                   25/09/2020
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 Nirulas,NoidaU.P.-201301
GSTIN                                   09AABCB5730G1ZV
State                                      UTTAR PRADESH
State Code                                9
CLAIM DETAILS
Claim No.                                  OC-21-1103-1802-00001557
Policy No.                                 OG-20-4334-1802-00000684
Vehicle No.                                UP 12 CM 0729
Insured                                     MOHD SHAKEEL GANDHI
Date Of Loss                              08-Sep-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                                                                                                                                          550
 CONVYENCE                                                                                                                                                   300
Photos                                                                    100@      1
Others
                                                                                                         Total Amount                                           850
Account Detail
Account No.                              50100120988818
IFSC Code                                 HDFC0000655
Bank Name                             HDFC BANK LTD.MEERUT
                                                                                                                                  (JAVED ALI CHAUAHAN)
                                                                                                                                      surveyor&yoss Absesso
                                                             Ho. No-70,Sector-10 Shastri Nagar Meerut -250001 (U.P)

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