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Premium Payment Receipt

Customer Copy

Dear Mr./Ms. NAYAN GAYEN

The following transaction has been completed successfully.

Request Type : Premium Payment

Policy Number : WB-112673-CS

Customer ID : 49255111

No of Premiums : 2

Premium : 630.00

Premium Paid From : 01/03/2023

Premium Paid Till : 30/04/2023

CGST : 7.0

SGST/UTGST 7.0

Total GST : 14.00

GST Number : 07AAAGH0019M2ZK

Rebate : 0.00

Default : 3.00

Excess Amount : 0.00

Total Paid Amount * : 647.00

Transaction Number : OR0014361342

Receipt Number : 542155362

Receipt Date and Time : 04/04/2023 10:05:42

*Excluding Payment Gateway Transaction charges

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