Premium Payment Receipt

Customer Copy

Dear Mr./Ms. PARESHKUMAR ARVINDRAI RATHOD

The following transaction has been completed successfully.

Request Type : Premium Payment

Policy Number : GJ-326864-UC

Customer ID : 31874472

No of Premiums : 6

Premium : 2250.00

Premium Paid From : 01/10/2022

Premium Paid Till : 31/03/2023

CGST : 25.31

SGST/UTGST 25.31

Total GST : 51.00

GST Number : 07AAAGH0019M2ZK

Rebate : 0.00

Default : 4.00

Excess Amount : 0.00

Total Paid Amount * : 2305.00

Transaction Number : OR0012585604

Receipt Number : 513907135

Receipt Date and Time : 21/11/2022 21:45:49

*Excluding Payment Gateway Transaction charges