MANOJ KUMAR SAINI
                                                          (Surveyor & Loss Assessor),

                                            225-A, Block-P, Narayan Vihar, Jaipur. 302038.
                                            sla.manojsaini@gmail.com, 7300214555
                 GSTIN: 08FDZPS0455Q1Z9, License No. : SLA-85202 / Date of Exp. : 05-NOV-2026

                                                             Survey Fees Bill
Bill To:                                                                    Invoice No                       Date
BAJAJ ALLIANZ GENERAL INSURANCE CO. LTD         MS/23-24/1610               06-03-2024
2nd and 3rd Floor, 4, Hathroi Fort, Gopal Bari,         Ref. No.
Ajmer Road, Jaipur                                                  Vehicle No.                      Policy No. / Claim No.
Jaipur, Rajasthan                                                     RJ14CU0225                    OC-24-1401-1801-
India                                                                                                              00003264
                                                                               Insured Name
302001                                                                    KANAK KUMAR JAIN
GSTIN: 08AABCB5730G1ZX
Place Of Supply: 08-Rajasthan
Sr.                                                                               Taxable CGST  CGSTSGSTSGST
                   Description             HSN/SAC   Rate   Per                                                           Amount
No.                                                                                Value  Rate|AmountRateAmount
1  Final Survey                                       6,000.00|nos|6,000.00   9% 540.00  9%540.00      7,080.00
      Professional Fees
                  Conveyance Charges                 250.00|nos|  250.00  9%   22.50|  9%   22.50        295.00
                                                                                                                            Subtotal      7,375.00
     Total                                                                      6,250.00                                          INR7,375.00
                                                                                                                                  Paid       INR0.00
                                                                                                                             Balance|INR7,375.00

Amount (in words) : INR Seven Thousand Three Hundred Seventy Five Only
CGST: 562.50
SGST: 562.50
Total Tax: 1125.00

PAN No. : FDZPS0455Q
                                                                                                                                  Kumar
Bank Name : HDFC Bank
A/c No. : 50100225869585
MICR No : 302240002                                                                                         MAOJ BOMAR SAINI
IFS Code : HDFC0000554                                                                              (Surveyor & Loss Assessor)

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