MANOJ KUMAR SAINI (Surveyor & Loss Assessor), 225 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/23-24/1301 26-12-2023 2nd and 3rd Floor, 4, Hathroi Fort, Gopal Bari, Ref. No. Ajmer Road, Jaipur Vehicle No. Policy No. / Claim No. Jaipur, Rajasthan PB15X0572 OC-24-1401-1870- India Insured Name 00001191 302001 MANU PAL BISHNOI GSTIN: 08AABCB5730G1ZX Place Of Supply: 08-Rajasthan Sr. Taxable CGST CGST SGST SGST Description HSN/SAC Rate Per Amount No. Value Rate|AmountRateAmount 1 Final Survey 1,500.00 9% 135.00 9%135.00 1,770.00 Professional Fees Conveyance Charges 250.00 250.00 9% 22.50 9% 22.50 295.00 Subtotal 2,065.00 Total 1,750.00 INR2,065.00 Paid INR0.00 Balance|INR2,065.00 Amount (in words) : INR Two Thousand Sixty Five Only CGST: 157.50 SGST: 157.50 Total Tax: 315.00 PAN No. : FDZPS0455Q Bank Name : HDFC Bank A/c No. : 50100225869585 MICR No : 302240002 MANOJKUNAR AINI IFS Code : HDFC0000554 (Surveyor & Koss Aasssor) yONELO This is computer generated invoice --------------PAGE Number: 1. END OF PAGE-----------------------