Licence No. 72585/2018-2021 Er.

Kamal Pant Address

Expiry Date: 9 October 2021 Govt. Approved Investigator 7/538, Vikas Nagar
Department- Motor-C, Engg.-C Surveyor & Loss Assessor Lucknow-226022
Miscellaneous-C B.Sc., B. Tech. (H.B.T.I. Kanpur) Mob. 9415082977
IIISLA Membership No:A/N/06066

Case No :538/19 Date:12.10.2019

PRIVILEGED FOR THE CONSIDERATION OF INSURERS CONCERNED AND

THEIR LEGAL ADVISERS ONLY
Verificatioof Driving Licence( DOL: 01.07.2019)

A/C : Dipti Agarwal

Policy No : 4208023119300001200
Claim No : 4208023119390000123
D/L No. : UP32A20100011824
Submitted to : The New India Assurance Co Ltd,City Branch
,Allahabad

In accordance with the Mail instruction received from under writer’s City Branch,Allahabad on
25.09.2019 regarding the verification of the above D/L of Dipti Agarwal, Immediately the case was
undertaken, visit was paid to A.R.T.O,Transgomti,Dewa Road,Lucknow on 14.10.2019 The detail of D/L
as given byA.R.T.O Lucknow on 11.10.2019 in computerized format is as follows.
Name & Address of licence Holder : Dipti Agarwal,D/o Krishna Lal
Agarwal,538/1655,Triveni nagar,Lucknow
D/L No : UP32A20100011824
Date of Issue : 29.05.2010
Class of vehicle : LMV
Validity : 29.05.2010 to 13.11.2022
Authority : ARTO/TG LKo
Note- Since the date of Loss is 01.07.2019. Hence the above D/L is valid for LMV as on date of Loss.
The Report is being released without prejudice.

(Kamal Pant)
Surveyor & Loss Assessor
Encl: 1.Particular of D/L in Computerised format.
2 Fees Bill
Licence No. 72585/2018-2021 Er. Kamal Pant Address
Expiry Date: 9 October 2021 Govt. Approved Investigator 7/538, Vikas Nagar
Department- Motor-C, Engg.-C Surveyor & Loss Assessor Lucknow-226022
Miscellaneous-C B.Sc., B. Tech. (H.B.T.I. Kanpur) Mob. 9415082977
IIISLA Membership No:A/N/06066

Bill & Case No:538/19 Date: 12.10.2019

S/B A/C No-0758000101618531

Punjab National Bank, Mahanagar Lucknow
PAN No- AKSPP1654M
IFS Code : PUNB0075800
MICR Code: 226024614

The New India Assurance Co Ltd,

City Branch ,Allahabad

Bill of Verification of Driving Licence( DOL: 01.07.2019)

A/c : Dipti Agarwal
Policy No : 4208023119300001200
Claim No : 4208023119390000123
GSTIN of Recepient : 09AAACN4165C4ZM
Professional fees : 800.00
Conveyance : 500.00
Misc Expenses at ARTO TG : 400.00

Total : 1700.00

(KAMAL PANT)

Surveyor & Loss Assessor