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Entity Type Main Applicant Co-Applicant: PVT LTD Company PVT LTD Company Shareholder
Entity Type Main Applicant Co-Applicant: PVT LTD Company PVT LTD Company Shareholder
Y1 Y2 Y3 Y4
188800 188800 188800 188800
Cancellation Year Y1
Refund for Y2 160480
Cancellation Year Y2
Refund for Y3 160480
Cancellation Year Y3
Refund for Y4 160480
Cancellation Year Y4
Refund for Y5 160480
Cancellation Year Y5
Refund for Y5 NIL
Refund Requested in
Yr 1 TOTAL REFUND AMOUNT for Y2, Y3, Y4 & Y5
Yr 2 TOTAL REFUND AMOUNT for Y3, Y4 & Y5
Yr 3 TOTAL REFUND AMOUNT for Y4 & Y5
Yr 4 TOTAL REFUND AMOUNT for Y5
By: VB
Pl mention the Gross premium
amount (including Service Tax)
Y5
188800
0480
0480
0480
0480
IL
641,920.00
481,440.00
320,960.00
160,480.00
Partner ABHFL
* Mandatory Fields
By: VB
ABHFL
* Mandatory Fields
By: VB
18601 23-Jul-19
###
#N/A###
23-Jul-19 18-Aug-68 #N/A
#N/A
###
ABHFL
Name Section A to D
To be entered in DDMMYY Format Section A to F
Automatic Calculation
From Drop Down 5
From Drop Down RSection A to F
Manual entry
Automatic Calculation ### 0.40%
Automatic Calculation
Manual entry
Automatic Calculation
Automatic Calculation