TAX INVOICE

Contractor's All Risk Contract No : PAI23002409

Invoice No. 019068
Name of the Participant : Date of Issue 25/06/2023
Period of cover 25/06/2023 to 24/06/2024
M/s. Ratna Sumyati
Bill Currency BHD
Villa 810, Road 1610, Al Lawzi 1016 VAT Registration Number 200000873600002

Agent
Participant VAT Reg. Number: ZAINAB ABDULLA SALEH ASHOOR MOHAMED (A412)
Details Bahraini Dinar Local Currency VAT amount Total Amount
(Exclusive of VAT) (Exclusive of VAT) (10%) (Inclusive of VAT)
Contribution 10.00 10.00 1.00 11.00

For and behalf of Medgulf Takaful B.S.C (c)

_____________________________________

Authorized Signator

Medgulf Takaful B.S.C. (c), Bait Al Tijjar 14 floor, Bldg 519, Road 1010, Block 410, Sanabis P.O.Box 31397 Manama, Kingdom of Bahrain, Phone:
+973 - 17218881, Fax: +973 - 17 582 114/17251444, www.medgulftakaful.com.bh Licensed and Regulated by the Central Bank of Bahrain, Locally
Incorporated Insurance Firm (Islamic Principles),C.R.:66716Authorized and Paid- up capital: BHD 6,667,000