This is a collection receipt from Star Health And Allied Insurance Company Limited for a customer renewal premium payment of Rs. 21,772/- in cash towards proposal reference R/121200/01/2023/014436. The receipt provides customer and payment details.
This is a collection receipt from Star Health And Allied Insurance Company Limited for a customer renewal premium payment of Rs. 21,772/- in cash towards proposal reference R/121200/01/2023/014436. The receipt provides customer and payment details.
This is a collection receipt from Star Health And Allied Insurance Company Limited for a customer renewal premium payment of Rs. 21,772/- in cash towards proposal reference R/121200/01/2023/014436. The receipt provides customer and payment details.
This is a collection receipt from Star Health And Allied Insurance Company Limited for a customer renewal premium payment of Rs. 21,772/- in cash towards proposal reference R/121200/01/2023/014436. The receipt provides customer and payment details.
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Star Health And Allied Insurance Company Limited
No. 95,Vaigarai Block, I Floor St. Paul's Complex,(Opp. to Head
Post Office) Bharathiyar Salai Tiruchirappalli Town Tamil Nadu-620001 Phone: 0431-2461324 Telefax:
Collection Receipt
Customer Code : 12788868 Collection No : 11-01/1016009083
Received From : MRS.T.USHA Collection Date : 10-Jan-2024 Customer Address : No: 1-4, 5th crossThiru Nagar . Office Code : 121200 - Zonal Office - Trichy Edumalai Road, GSTIN : 33AAJCS4517L1Z5 Mannachanallur .Trichy. Place of Supply : Tamil Nadu Manachanallur Taluka Tamil Nadu 621005 Customer mobile : ./890XXXXX73 Type of proposal : Renewal number Customer GSTIN : NO State Code : 33 Amount Collected : Rs. 21,772/- Amount in words : INDIAN RUPEES Twenty One thousand seven hundred seventy two only Towards the Following : Amount Receipted towards Premium Sr. Proposal Fulfiller Intermediary Amount Mode of Bank CHQ/CC/DD CHQ/DD/BC No Ref. No Code Code Collected payment Name No Dt. (Rs) 1 R/ SH0253 BA0000010875 21,772/- Cash 121200/01/2 023/014436
For Star Health and Allied Insurance Co. Ltd.
Authorised Signatory
Note : Receipt Subjected 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. “Available modes of payments of Premium: Cash, Cheque, DD, Net Banking, RTGS/NEFT, Credit Card, Debit Card, UPI, Payment Gateway(PAYTM, PAYU, AIRPAY, BBPS, CSC, UBONA).”
Page 1 of 1 IRDA Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: info@starhealth.in
