License No. : SLA - 73766
Valid Up to : 05-10-2024		      Mobile (S) : 9990929990
Pan card no. : AHRPA8488Q			E-Mail : msadhikari77@gmail.com
		      MANOHAR ADHIKARI
			     Surveyor & Loss Assessor
		   C/o Harinagar Nayak, Near DAV School, Haldwani,Uttrakhand
				Survey Fee Bill
To,
   Bajaj Allianz General Insurance Co. Ltd. Bill No.: B-02-24-02521
   NEW DELHI			      Date : 26/02/2024
   NEW DELHI, WEST DELHI -110015		  Code
   GSTIN: 07AABCB5730G1ZZ State Code : NEW DELHI (07)
       Report Ref No   : M S/BAGI/04U6786/02-24/F/02718
       Vehicle No.     : UK04U6786
        Insured Name   : MS. NAGMA ARIF
       Date Of Accident : 07-Feb-24	  Assessed :        24,920.00
       Policy/cover note no : OG-24-9910-1801-00174779 Estimate :2    0.00
       Claim No	: OC-24-1103-1801-00013379 IDV     :   507,909.00
 SNO	   Particulars		   HSN/SAC	     Amount 
  1 Final				     997162	     1,500.00
	Professional Fee : Assessed Amount & 24,920.00 1,250.00
	Photos/CD Expenses :			       0.00
	0 Photographs , Charged for 0 @ Rs. 0.00
	Conveyance Expenses :			   250.00
  2 ReInspection			      997162		250.00
	Professional Fee :				 0.00
	Photos/CD Expenses :			       0.00
	0 Photographs , Charged for 0 @ Rs. 0.00
	Conveyance Expenses :			   250.00
						       Sub Total : 1,750.00
						     C GST @ 9.00 % 157.50
						     S GST @ 9.00 % 157.50
      ADVANCE RECEIPT			 Grand Total :      2,065.00
						       Round off : % 2,065.00
			In words : Rs. Two Thousand Sixty Five Only
 GSTIN: 07AHRPA8488Q1Z9 State : (07)
 PAN.AHRPA8488Q
 Bank Name : HDFC BANK LTD
 A/c No.  50200085453100			   MANOWAR ADHIKARI
 MICR No 110240116
 IFS Code HDFC0000932					     ssessor
								     S
							    [SLA.o73766
							       LOSSA

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