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.) TEE FEE BILL MOTOR FINAL SURVEY REPORT BILL NO. BAJAJS698 DATE : 27.03.2024 Policy No. OG-24-1021-1825-00042250 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-24-1301-1825-00002292 Claim No. Validity 11-Feb-24 Sum Insured 10-Feb-25 Insurers BAJAJ ALLIANZ GEN. INS. CO. LTD. Insured MR. ADESH KUMAR YADAV Financers Registered Owner : MR. ADESH KUMAR YADAV Registration No. : UP32PH0192 PROFESSIONAL FEE ==>> 500.00 Conveyance FEE 0.00 TOTAL 500.00 CGST @ 9% 45.00 SGST @ 9% 45.00 590 SLA tth RUPEES FIVE HUNDRED & NINETY ONLY 58528 * Sanjay Kumar Singh ---PAGE END---