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Collection Receipt Cum Adjustment Voucher: The New India Assurance Co. Ltd. (Wholly Owned by The Govt. of India)
Collection Receipt Cum Adjustment Voucher: The New India Assurance Co. Ltd. (Wholly Owned by The Govt. of India)
: JAIPUR D O 1 (330100)
: C. D. U. I, L&B-2 INDUSTRIAL AREA
NEAR GALAXY CINEMA
SFS MANSAROVER,302002
JAIPUR
Phone
Email
Fax
: 01412395531
: nia.330100@newindia.co.in
: 01412395419
Collection Number
Collection Date
Business Source Code
: 10000089160600087125
: 17/06/2016
: 1D4023409
Amount`
843.00
A/C Code
9100.100000
Total = ` 843.00
Your Payment/Adjustment Details are as under Mode
Amount ` Cheque
Cheque
No.
Date
EPG
Credit
Advice
843.00
QR111
21178
N.A.
Drawee Bank
Drawee
Branch
N.A.
N.A.
Reference No.
3301001610003691
Scroll/BG/
APD
Balance
N.A.
Total = ` 843.00
Utilization details of the Collected Amount :
Premium
Service Tax
733.00
110.00
Sl no.
Agency Code
1
NIA1D4019864
Stamp Duty
0.00
Excess Amount
0
Department Code
31
Agency Name
KAVITA BACHWANI
Revenue Stamp
__________
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Date of Issue: 17/06/2016
Cashier's Initial
Authorized Signatory
Note 1.Please quote the Policy Number, Collection Number and date in all future correspondence. .
2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of
payment of the installment if the premium paid has been exhausted by turnover declarations/if there is insufficient
premium balance.