Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch
Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch
Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch
Received with thanks Rs. 82,994.00 through Payment Gateway over the Internet
Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax Branch
Name Term Mode Due Fr Late Fee Edu Cess Next Due
Agency Code D.O.C. Sum Assured Due To Total Amt
547099489 14 82,994.00 1 82,994.00 0.00 568
T A Khan 21 YLY 08/19 0.00 0.00 08/21
04833568 04/08/2010 17,00,000.00 08/20 82,994.00
Page Total (Rs) 82,994.00 82,994.00 0.00
0.00 0.00
82,994.00
Grand Total (Rs) 82,994.00 82,994.00 0.00
0.00 0.00
82,994.00