SURVEY FEE BILL
                                                                              JAVED ALI CHAUAHAN
                                                                                   surveyor& Loss Assessor
                                                                           Licence No.-SLA7519923-03-2022)
Ref.No.3688                                                                                                                           Date:                     11/11/2020
PAN:       AHRPA4504H
SAC:       917162
insurance Auxiliary Service
State &State Code:Uttar Pradesh,09)
INSURER DETAILS
Name                                      M/S-Bajaj Allianz General Insurance company Limited
Addresh                                  C-31,Sector-2,2nd floorNear Nirulas,NoidaU.P.-201301
GSTIN                                        09AABCB5730G1ZV
State                                          UTTAR PRADESH
State Code                                  9
CLAIM DETAILS
Claim No.                                    OC-21-1103-1802-00002096
Policy No,                                    QG-20-1101-1802-00030340
Vehicle No.                                 UP14 DN 6787
Insured                                       MR SUSHEEL
Date Of Loss                                20-Oct-20
DESCRIPTION OF SERVICES
PROFESSIONAL FEE                 :                                                                                                                               550
 CONVYENCE                               MEERUT TO MODINAGAR                      30*7.5=750                                                        600
Photos                                                                        100 @      1
Others
                                                                                                                Total Amount                                            1150

Account Detail
Account No.                                50100120988818
IFSC Code                                   HDFC0000655                                                                                    AU
Bank Name                                HDFC BANK LTD.MEERUT
                                                                                                                                          JAVED ALI/CHAUAHAN)
                                                                                                                                             sveyorbssesson
                                                                                                                                                        t510m
                                                                Ho.No-70,Sector-10 Shastri Nagar Meerut -250001(U.P)  n

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