Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 155 views

    Premium Receipt

    Uploaded by

    Ameen
    This collection receipt documents the collection of Rs. 12,296 from customer Ameen Abdul Mutalib Shah towards an online insurance policy premium payment made via credit card to Star Health and Allied Insurance Co. Ltd. on January 11, 2022. The receipt provides details of the customer such as name, address and GSTIN as well as collection details including collection number, date, office code, and amount collected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Premium Receipt

    Uploaded by

    Ameen
    155 views1 page
    This collection receipt documents the collection of Rs. 12,296 from customer Ameen Abdul Mutalib Shah towards an online insurance policy premium payment made via credit card to Star Health and Allied Insurance Co. Ltd. on January 11, 2022. The receipt provides details of the customer such as name, address and GSTIN as well as collection details including collection number, date, office code, and amount collected.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This collection receipt documents the collection of Rs. 12,296 from customer Ameen Abdul Mutalib Shah towards an online insurance policy premium payment made via credit card to Star Health and Allied Insurance Co. Ltd. on January 11, 2022. The receipt provides details of the customer such as name, address and GSTIN as well as collection details including collection number, date, office code, and amount collected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    155 views1 page

    Premium Receipt

    Uploaded by

    Ameen
    This collection receipt documents the collection of Rs. 12,296 from customer Ameen Abdul Mutalib Shah towards an online insurance policy premium payment made via credit card to Star Health and Allied Insurance Co. Ltd. on January 11, 2022. The receipt provides details of the customer such as name, address and GSTIN as well as collection details including collection number, date, office code, and amount collected.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    Branch Office Dadar II No.201, 2nd Floor, Laxmi Commercial Complex, , Near Flower Market,Dadar (W), Mumbai - 400028.

    , ,
    MUMBAI , 400028
    Collection Receipt
    Customer Code : AA0004560857

    Received from : AMEEN ABDUL MUTALIB SHAH


    Customer Address : B/4, SAIALYA CHS., PLOT NO-20, RSC NO-8, Collection No : 11-01/1358006322

    MHADA MALWANI MALAD (WEST ), Collection Date : 11/01/2022


    MUMBAI Office Code : 171123 - Branch Office Dadar II

    Supplier GSTIN : 27AAJCS4517L1ZY

    Customer GSTIN : - Place of Supply : - State Code: -

    Amount Collected : Rs. 12296 /- Inclusive of tax :

    Amount in words : Indian Rupees Twelve Thousand Two Hundred Ninety-Six Only

    Towards the Following : PREMIUM RECEIPT ONLINE POLICY

    S. No. Proposal Ref. No Fulfiller Code Intermediary Code Amount Collected Mode of Pay Bank Name CHQ/CC/DD No CHQ/DD/BC Dt

    1 R/171123/01/2022/035368 SO171123 BA0000154854 12296 CC MAST 14541607433 11/01/2022

    For Star Health and Allied Insurance Co. Ltd

    Note : Receipt Subject to realization of Cheque / DD


    This is only an evidence of receipt of money by the company
    Risk will commence once the proposal is examined and accepted Authorised Signatory

    IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email id : info@starhealth.in

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No:1800-425-5522 Toll Free No:1800-425-2255 / 1800-102-4477,CIN
    :U66010TN2005PLC056649 Email :support@starhealth.in Website :www.starhealth.in IRDAI Regn.no: 129

    You might also like