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Client Copy

Aditya BIRLA SUNLIFE INSURANCE CO. LTD.


ACKNOWLEDGEMENT SLIP

Or No: 130176621
Application No: IA040151249
AM/BM/APC Code: BO7116
AM/BM/APC Name: VASABHAKTULA BHARANI
From Location: 36
Branch Code: 623
To Location: 36

Received with thanks from: CHUKKALA SURYAVATHI


an amount of Rupees:₹ 637
vide Transaction ID:900916509
Payment Dated: 9/17/2019 1:38:48 PM
Towards: FRESH APPLICATION PROCESSING FEES

Processing Fees(A) 539


CGST @ 9% 49
SGST @ 9% 49
Total Fees(A+B) 637

Date : 9/17/2019 1:38:48 PM

SAC Code Business Support Service


GST No. 36AABCB4623J1ZT
Online receipt generated. Signature not required.

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