The document is a collection receipt from The New India Assurance Co. Ltd. for a payment of Rs. 6455 from Harihar Prasad Singh. It provides details of the policy number, amount collected, payment mode, utilization of funds, and signatures of the cashier and authorized signatory. The collection is for premium of Rs. 5470 and GST of Rs. 985 toward policy number 31030031170100064732.
The document is a collection receipt from The New India Assurance Co. Ltd. for a payment of Rs. 6455 from Harihar Prasad Singh. It provides details of the policy number, amount collected, payment mode, utilization of funds, and signatures of the cashier and authorized signatory. The collection is for premium of Rs. 5470 and GST of Rs. 985 toward policy number 31030031170100064732.
The document is a collection receipt from The New India Assurance Co. Ltd. for a payment of Rs. 6455 from Harihar Prasad Singh. It provides details of the policy number, amount collected, payment mode, utilization of funds, and signatures of the cashier and authorized signatory. The collection is for premium of Rs. 5470 and GST of Rs. 985 toward policy number 31030031170100064732.
The document is a collection receipt from The New India Assurance Co. Ltd. for a payment of Rs. 6455 from Harihar Prasad Singh. It provides details of the policy number, amount collected, payment mode, utilization of funds, and signatures of the cashier and authorized signatory. The collection is for premium of Rs. 5470 and GST of Rs. 985 toward policy number 31030031170100064732.
Issuing Office : N BLOCK,CONNAUGHT CIRCUS (310300) Address : BOMBAY LIFE BUILDING, N-34, CONNAUGHT CIRCUS, NEW DELHI
,110001 NEW DELHI Phone : 23723521 Email : nia.310300@newindia.co.in Fax : Collection Number : 31030081170000068318 Collection Date : 01/12/2017 Business Source Code : 2D10673292 PAN No of Payer :
Received with thanks from Harihar Prasad singh.
The amount received/Adjusted is towards -
Policy No. A/C Description Amount` A/C Code Sub A/C Code 31030031170100064732 Bank-310300 6455.00 9100.310300 BA00018819-310300-9100 Total = ` 6455.00
Your Payment/Adjustment Details are as under -
Mode Amount ` Cheque Cheque Date Drawee Bank Drawee Branch Reference No. Scroll/BG/A No. PD Balance ECS 6455.00 AWS112 N.A. N.A. N.A. 3103001727752022 N.A. 1620 Total = ` 6455.00
Utilization details of the Collected Amount :
Premium GST Stamp Duty Excess Amount 5470.00 985.00 0.00 0 Sl no. Agency Code Agency Name Department Code 1 NA NA 31
For The New India Assurance Company Limited
Revenue Stamp __________ | | | | | | | | |__________| Date of Issue: 01/12/2017
(Mr Hemendra Swaroop) [SRDivisional Manager]
Cashier's Initial Authorized Signatory
Note - 1.Please note the Policy Number, Collection Number and date in all future correspondence. . 2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of payment of the installment if the premium paid has been exhausted by turnover declarations/if there is insufficient premium balance.
Tax Invoice No : 3103003100064732
IRDA Registration Number: 190
Signature Not Verified Digitally signed by Srinivasan Vaideswaran Date: 2017.12.01 19:08:00 IST Policy No. : 31030031170100064732Document generated by Policy Bazaar at 01/12/2017 19:07:59 Hours. Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Page 1 of 2 THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by the Govt. of India)
Policy No. : 31030031170100064732Document generated by Policy Bazaar at 01/12/2017 19:07:59 Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
