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SHAHLIP22040V052223
In consideration of payment of Rs.,60,000/- towards renewal of premium of Policy number: P/140023/01/2022/002888, the policy stands
renewed for further period of 1 year as per the details given below.
Proposers Name : Ms. RAMYA SUDHA issue office Name : Zonal office - Bangalore
: No 10 second floor, Shree
Venkateshwara nilaya, 1st main,
Nagappa reddy layout, : 1st Floor, No 2, Venkataswamy Road,
Opposite to Lakshmi hospital, Kumara Park west,
Kaggadaspura, Bangalore Bangalore – 560020
Address 560093 Address
Name: YAMUNA V
CGST @ 9% Rs.4576/- SGST @9% Rs.4576/-
Phone No: 9060561475
Stamp Duty : Re 1/- Total Premium : Rs. 60,000/-
Email ID: vighu.gowda@gmail.com
Total Premium in words : Rupees one lakh twenty five thousand rupees only
Period of Insurance From : 01/08/2022 00:00 Hrs To Midnight of 31/07/2023