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TATA AIG General Insurance Company Ltd.

Regd. Office: 15th floor, Tower A,Peninsula Business


Park,Ganpatrao Kadam Marg, Off Senapati Bapat Marg, Lower
Parel, Mumbai- 400 013

Toll Free: 1800-266-7780

RECEIPT ALLOCATION REPORT


Collection No: 20220129102107329312 Receipt No: 106001027358993

Office Code: 0600 Date: 29/01/2022

CID A/c: 6101844571 Bank Code: 1211

Received with thanks from: MR NARASIMHA REDDY Producer Code: 0001803065


41000.00 (INR Rupees Forty-One Thousand
The Sum Of Rs : Portal Rt No: 106001027358993
And Paise Zero Only)
Towards the following:
TR Policy/Endt/Ren/ Amount A/c Head
Sl.No Appl Ref. No Product Covernote
Code Decl/Claim Collected GL
1 312022001319489MotorPrivateCarPolicyInsurance 01 41,000.00
Total 41,000.00
Chq/Instrument Details: 018912 Dated: 29/01/2022 Bank: AXIS BANK

Particulars: Premium for various insurance policies


For Tata AIG General Insurance Co. Ltd

Note : Receipt is valid subject to


realization of Cheque

Excess Amount paid is kept as deposit


amount in your CID a/c

Service Tax Registration No:


Cashier/Authorized Signatory
AABCT3518QST004

http://iip-core.tataaiginsurance.in/Configurator/Accounts/Acc_Voucher_Report.aspx?Vouc... 2/12/2022

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