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    Kerala State Insurance Department

    Uploaded by

    bibindev
    This document is a statement showing deductions towards state life insurance policies for Dr. Asish B for the month of November 2013 from the Taluk Headquarters Hospital in Kayamkulam, Kerala. It lists a deduction of 1000 rupees from his salary for premium payment on his state insurance policy numbered 0KSID/Li/281115495. The total deduction for insurance premiums that month was 1000 rupees.

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

    Kerala State Insurance Department

    Uploaded by

    bibindev
    24 views1 page
    This document is a statement showing deductions towards state life insurance policies for Dr. Asish B for the month of November 2013 from the Taluk Headquarters Hospital in Kayamkulam, Kerala. It lists a deduction of 1000 rupees from his salary for premium payment on his state insurance policy numbered 0KSID/Li/281115495. The total deduction for insurance premiums that month was 1000 rupees.

    Original Title

    SDOSLIRpt_[619925]_November_2013

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    This document is a statement showing deductions towards state life insurance policies for Dr. Asish B for the month of November 2013 from the Taluk Headquarters Hospital in Kayamkulam, Kerala. It lists a deduction of 1000 rupees from his salary for premium payment on his state insurance policy numbered 0KSID/Li/281115495. The total deduction for insurance premiums that month was 1000 rupees.

    Copyright:

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

    Kerala State Insurance Department

    Uploaded by

    bibindev
    This document is a statement showing deductions towards state life insurance policies for Dr. Asish B for the month of November 2013 from the Taluk Headquarters Hospital in Kayamkulam, Kerala. It lists a deduction of 1000 rupees from his salary for premium payment on his state insurance policy numbered 0KSID/Li/281115495. The total deduction for insurance premiums that month was 1000 rupees.

    Copyright:

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

    FORM B

    KERALA STATE INSURANCE DEPARTMENT


    Statement showing deductions towards State Life Insurance Policies
    for the month of November 2013
    DDO/SDO Code :

    0703-280-

    Name of Office :

    TALUK HEADQUARTERS HOSPITAL KAYAMKULAM

    Department

    Health Services

    Salary Head : 2210-01-110-99---

    Mode of Payment (By Salary Deduction/Demand Draft/Challan) : ................................................................................................................................................


    Details of Demand Draft/Challan : ...................................................................................................................................................................................................
    SL No
    1

    PEN
    619925

    Name

    Policy No.

    ASISH B Dr

    Premium

    0KSID/Li/ 281115495
    Total

    Loan
    Amount Instal. No.

    Total

    1000
    1000

    Remarks

    1000
    1000
    (Rupees One Thousand only)

    Place : Kayamkulam PO, Alappuzha Dist

    (Office Seal)

    Date : 05/12/2013

    Spark Code : 38007499989897957999

    Signature :
    Name & Address
    of DDO/SDO :

    ASISH B Dr,
    Assistant Surgeon,
    TALUK HEADQUARTERS HOSPITAL
    KAYAMKULAM,
    Health Services

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