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    Parents Insurance Tax

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    dev77729
    This document is a collection receipt from Star Health and Allied Insurance Co. Ltd acknowledging receipt of Rs. 30,685 from T. Jagadish towards an online insurance policy premium payment made via credit card. The payment was received at the company's Kodambakkam branch office in Chennai and is subject to realization of the credit card payment.

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

    Parents Insurance Tax

    Uploaded by

    dev77729
    129 views1 page
    This document is a collection receipt from Star Health and Allied Insurance Co. Ltd acknowledging receipt of Rs. 30,685 from T. Jagadish towards an online insurance policy premium payment made via credit card. The payment was received at the company's Kodambakkam branch office in Chennai and is subject to realization of the credit card payment.

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    Parents insurance tax

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    This document is a collection receipt from Star Health and Allied Insurance Co. Ltd acknowledging receipt of Rs. 30,685 from T. Jagadish towards an online insurance policy premium payment made via credit card. The payment was received at the company's Kodambakkam branch office in Chennai and is subject to realization of the credit card payment.

    Copyright:

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

    Parents Insurance Tax

    Uploaded by

    dev77729
    This document is a collection receipt from Star Health and Allied Insurance Co. Ltd acknowledging receipt of Rs. 30,685 from T. Jagadish towards an online insurance policy premium payment made via credit card. The payment was received at the company's Kodambakkam branch office in Chennai and is subject to realization of the credit card payment.

    Copyright:

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

    Branch Office - Kodambakkam Panna Plaza, New No:137, Old No :73&74, 1st Floor,Arcot Road, , Kodambakkam,Chennai -

    600 024. , , CHENNAI , 600 024


    Collection Receipt
    Customer Code : AA0015223110

    Received from : T.JAGADISH


    Customer Address : 11A,DHANA LAKSHMI NAGAR 2ND STREET Collection No : 11-01/1062010026

    PUZHAL Collection Date : 04/10/2020


    Office Code : 111116 - Branch Office - Kodambakkam

    Supplier GSTIN : 33AAJCS4517L1Z5

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

    Amount Collected : Rs. 30685 /- Inclusive of tax :

    Amount in words : Indian Rupees Thirty Thousand Six Hundred Eighty-Five 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/111116/01/2021/038242 SH52069 BA0000440186 30685 CC ICICI Bank 201004971051 04/10/2020


    279304

    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

    CN=R Margabandhu,

    R Margabandhu
    SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b15
    475488cdf3b2c3c26c3c9, ST=TAMIL NADU, OID.2.5.4.17=600034,
    OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806
    ca65f89e15179f5fe50a, OU=UNDERWRITING - Chief Risk Officer,
    O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN.
    Date :Sun Oct 04 09:22:54 IST 2020

    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@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129

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