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Renewal Premium Receipt: Har Pal Aapke Sath!!
Renewal Premium Receipt: Har Pal Aapke Sath!!
Received with thanks Rs. 3,305.00 from policyholder Shri/Smt.Sh Satish Kumar Singla
towards the following policy/ies
Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
162624081 75 3,305.00 1 3,305.00 0.00 16X |0039916X
Satish 20 HLY 12/21 0.00 0.00 06/22
No 28/12/2003 1,01,000.00 12/21 0.00 + 0.00 3,305.00 03AAACL0582H1ZW
Page Total (Rs) 3,305.00 3,305.00 0.00
0.00 0.00
0.00 3,305.00
Grand Total (Rs) 3,305.00 3,305.00 0.00
0.00 0.00
0.00 3,305.00