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    This receipt acknowledges a payment of Rs. 25,000 from Mr. Sachin K Kande for an online insurance policy with Star Health and Allied Insurance Co. Ltd. The payment was made by credit card on January 3rd, 2019. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

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    Star

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    MADANMOHANREDDY
    4K views1 page
    This receipt acknowledges a payment of Rs. 25,000 from Mr. Sachin K Kande for an online insurance policy with Star Health and Allied Insurance Co. Ltd. The payment was made by credit card on January 3rd, 2019. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

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    This receipt acknowledges a payment of Rs. 25,000 from Mr. Sachin K Kande for an online insurance policy with Star Health and Allied Insurance Co. Ltd. The payment was made by credit card on January 3rd, 2019. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views1 page

    Star

    Uploaded by

    MADANMOHANREDDY
    This receipt acknowledges a payment of Rs. 25,000 from Mr. Sachin K Kande for an online insurance policy with Star Health and Allied Insurance Co. Ltd. The payment was made by credit card on January 3rd, 2019. The receipt notes that the risk will commence once the proposal is examined and accepted by the company.

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    STAR HEALTH AND ALLIED INSURANCE CO LTD

    Branch Office - Hebbal # 255, 2nd Floor,1st Cross,1st Main, Ganganagar, , Bangalore-560032.

    Advance Premium Receipt


    Customer Code : AA0003192109 Collection No : 03-01/1174010932

    Received from : Mr. SACHIN K KANADE Collection Date : 03/01/2019

    Customer Address : #7, 6TH CROSS, 2ND MAIN, MATHIKERE, Office Code : 141126 - Branch Office - Hebbal
    YESHAWANT
    HAPURA, GSTIN : 29AAJCS4517L1ZU

    BANGALORE 560022 Place of Supply :- State Code :-

    Customer GSTIN : -

    Amount Collected : Rs. 25000 /- Inclusive of tax: CGST @9%-Rs.2250/- SGST/UTGST @9%-Rs.2250

    Amount in words : Indian Rupees Twenty Five Thousand Only


    Towards the Following : PREMIUM RECEIPT ONLINE POLICY CN=S GANESAN,
    SERIALNUMBER=6334c2e11098300722dbd61428bc9cb25d

    S GANESAN 26f543b193f351fa3b4910df34f5b9, ST=Tamil Nadu, OID.


    2.5.4.17=600034, OU="Management,CID - 4612796", OID.
    2.5.4.20
    =b845a3b93323a923e37303adeac8f30984e4cfa2a550295
    358eb0f55445d8ef8, O=STAR HEALTH AND ALLIED
    S. No. Proposal Ref. No Fulfiller Code Intermediary Code Amount Collected Mode of Pay Bank
    INSURANCE
    Name CHQ/CC/DD
    COMPANY LIMITED, C=INDate:2018.01.0914: No CHQ/DD/BC Dt
    7:27 IST

    1 R/141126/01/2019/010220 SH14702 BA0000158782 25000/- CC BANK 7446184522 03/01/2019

    For Star Health and Allied Insurance Co. Ltd

    Authorised Signatory

    Note : Receipt Subject to realization of Cheque / DD


    This is only an evidence of receipt of money by the company
    Risk will commence once the proposal is examined and accepted

    "Consolidated Stamp duty paid vide G.O. Rt. No.5/305 dated 25.10.2018"

    IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC058649 Email id : info@starhealth.in

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