SURVEY FEE BILL
                                                                            JAVED ALI CHAUAHAN
                                                                                 surveyor& Loss Assessor
                                                                          Licence No.-SLA7519923-03-2022)
Ref.No.3599                                                                                                                        Date:                    16/10/2020
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,Noida,U.P.-201301
GSTIN                                        09AABCB5730G1ZV
State                                         UTTAR PRADESH
State Code                                 9

CLAIM DETAILS
Claim No.                                   OC-21-1103-1802-00001850
Policy No.                                   OG-20-1901-1802-00064911
Vehicle No.                                 UP 15 BU 1485
Insured                                      MR VASIMAKRAM
Date Of Loss                               04-Oct-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
                                                                                                                                       IAVEDALI CHAAHAN
                                                                                                                                                         AE
                                                                                                                                           surveyorss Asssor
                                                               Ho. No 70,Sector-10 Shastri Nagar Meerut -250001(U.P)

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