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RENEWAL PREMIUM RECIEPT

 Received With Thanks Rs. 4,834.38 Policy Holder: Shri/Smt. Krishnendu 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

 401650221    4,728.00  1  4,728.00  53.19  467

 Krishnendu Das     Yearly  16/05/2023  0.00  53.19  16/05/2024

       16/05/2023  0.00  106.38  19AAACL0582H1ZJ

4,728.00 53.19
Page Total (Rs) 4,728.00 0.00 53.19
0.00 106.38

4,728.00 53.19
Grand Total (Rs) 4,728.00 0.00 53.19
0.00 106.38
In Words (Rupees) : Four Thousand, Eight Hundred   Thirty-Four  Rupees And Thirty Eight Paise

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