G-block, Bandra Kurla Maharashtra 400051 Mumbai, Bandra East Telephone Number:- 022-26523296/97 Email Id:- examdata@iii.org.in website:- insuranceinstituteofindia.com Receipt of Enrollment Paper Details Service Tax No. :- AAATI1174RSD001 Online Examination May,2014 Date : Candidate Name E-Mail Payment Details Study Material Cost Mobile No. Examination Fee Registration ID Registration Fee/ Due Amount Order No : 17763908 29/03/2014 E-learning Fee Late Fee Note : Please save this receipt for future reference Total Amount Transaction Details DINESH KUMAR moghan_dinesh@yahoo.co.in 9176889028 500 0 1123033851 0 0 500 Subjects Applied - IC-67 Transaction Date 29-03-2014 19:55:03 Transaction No Transaction Status Completed MSBI3301629585 0 Service Tax Grand Total 62 562