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RENEWAL PREMIUM RECIEPT

 
 Received With Thanks Rs. 5,919.26  Policy Holder: Shri/Smt. Krishna Das  
 towards the following
  policy
 
 
 CGST  Branch
 Plan  Inst. Premium  No. of Inst.  Total Premium
 Policy No.
 SGST/UTGST  Next Due
 Term  Mode  Due From  Late Fee
 Name
 Total Amt (Rs)  Reg. No.
 D.O.C  Sum Assured (Rs)  Due To  CDA Charges
 Agency Code

 459854206    5,789.00  1  5,789.00  65.13  467

 Krishna Das     Yearly  20/04/2023  0.00  65.13  20/04/2024

       20/04/2023  0.00  130.26  19AAACL0582H1ZJ

5,789.00 65.13
Page Total (Rs) 5,789.00 0.00 65.13
0.00 130.26

5,789.00 65.13
Grand Total (Rs) 5,789.00 0.00 65.13
0.00 130.26

In Words (Rupees) : Five Thousand, Nine Hundred   Nineteen  Rupees And Twenty Six Paise

Stamp Duty of Rs. 4.00 Crores paid vide Mudrank No.: LOA/CSD/526/4822 dated 14.11.2022 valid from 16.12.2022 to 30.09.2023.

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