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    Star Health and Allied Insurance Company Limited

    Uploaded by

    Mano Kumar
    This receipt is for the collection of Rs. 1,846 from Mari Manohar of Ambasamudram, Tamil Nadu towards a fresh insurance proposal with Star Health And Allied Insurance Company Limited. The amount was received through payment gateway on December 20, 2023 for proposal number 61240049741SO700001. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

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    © All Rights Reserved
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    Star Health and Allied Insurance Company Limited

    Uploaded by

    Mano Kumar
    35 views1 page
    This receipt is for the collection of Rs. 1,846 from Mari Manohar of Ambasamudram, Tamil Nadu towards a fresh insurance proposal with Star Health And Allied Insurance Company Limited. The amount was received through payment gateway on December 20, 2023 for proposal number 61240049741SO700001. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

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    My name is mano

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    1703155365513

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    This receipt is for the collection of Rs. 1,846 from Mari Manohar of Ambasamudram, Tamil Nadu towards a fresh insurance proposal with Star Health And Allied Insurance Company Limited. The amount was received through payment gateway on December 20, 2023 for proposal number 61240049741SO700001. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

    Copyright:

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

    Star Health and Allied Insurance Company Limited

    Uploaded by

    Mano Kumar
    This receipt is for the collection of Rs. 1,846 from Mari Manohar of Ambasamudram, Tamil Nadu towards a fresh insurance proposal with Star Health And Allied Insurance Company Limited. The amount was received through payment gateway on December 20, 2023 for proposal number 61240049741SO700001. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

    Copyright:

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

    Star Health And Allied Insurance Company Limited

    No.289, 2nd and 3rd Floor, West Sivan Koil Street, Vadapalani
    Chennai Tamil Nadu-600026
    Phone: 044-47686041 Telefax:

    Collection Receipt

    Customer Code : PI0004702883 Collection No : 700001/RV/2024/0087718653


    Received From : Mari Manohar Collection Date : 20-Dec-2023
    Customer Address : 44 96 G THILAGAR PURAM Office Code : 700001 - Chennai - TS
    SOUTH STREET GSTIN : 33AAJCS4517L1Z5
    AMBASAMUTHIRAM Place of Supply : Tamil Nadu
    THIRUNELVELI
    Ambasamudram Taluka Tamil
    Nadu 627401
    Customer mobile : 770XXXXX01 Type of proposal : Fresh
    number
    Customer GSTIN : NO State Code : 33
    Amount Collected : Rs. 1,846/-
    Amount in words : INDIAN RUPEES One thousand eight hundred forty six 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 61240049741 SO700001 OD700001 1,846/- Payment Legacy 18781283296 20-Dec-2023
    4 Gateway Bank
    Branch

    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).”

    CN=R Margabandhu, SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b15475488cdf3b2c3c26c3c9,

    R Margabandhu ST=TAMIL NADU, OID.2.5.4.17=600034,


    OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806ca65f89e15179f5fe50a, OU=UNDERWRITING - Chief
    Risk Officer, O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN. Date :Wed Dec 20 20:36:56 IST 2023
    Page 1 of 1
    IRDA Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: [email protected]

    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 : L66010TN2005PLC056649 Email :[email protected]
    Website :www.starhealth.in IRDAI Regn.no: 129

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