500820240900306

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Shriram Life Insurance Company Limited

IRDAI No : 128

PROPOSAL DEPOSIT RECEIPT

Proposer Name: Mrs.MANIKA SAHA ACHARJEE

Receipt No. : 500820240900306


TATIPARA,HOWRAH
Proposal No. : 500824002437
AGARTALA
AGARTALA Agent Code : K03305

ARUNDHUTINAGAR Plan Name : SHRIRAM LIFE EARLY CASH PLAN

WEST TRIPURA - 799003

TRIPURA - India

Payment Details
By Cheque No. Inst. Dt Bank Place Amount

Cash 16/09/2024 23500.00

Total 23500.00

Received Rupees Twenty Three Thousand Five Hundred Rupee(s) And Zero Paise Only. towards

Proposal Deposit Receipt from the above named Proposer

Kindly note that this receipt is only an acknowledgement for having received the amount as stated above and does not constitute
acceptance of risk cover under the proposal/policy

Tax Benefit as per the provisions of Income Tax Act 1961 subject to cheque realization and policy issuance.

Date & Time : 16/09/2024 00:00:00

Place : Mumbai Main

The validity of the receipt is subject to realization of Cheque,in case the payment is made by cheque

DISCLAIMER

* This receipt is auto-generated via Mobile App and the receipt being shared is a token acknowledgement and subject to premium
realisation on banking of premiums.

Signature Of Cashier

Regd office :5th Floor, Ramky Selenium,Plot No.31-32, Financial District ,(Beside Andhra Bank Training Center),Gachibowli,Hyderabad - 500032

Phone :040-23009400,Fax :. Toll Free No.: 1800-103-6116

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