The Oriental Insurance Company Ltd.

DO AMRAVATI SAUBHAGYA. 1ST FLOOR. BADNERA ROAD. , AMRAVATI - 444601 , , AMRAVATI , 444601
GST NO : 27AAACT0627R4ZW
RECEIPT

Office Code & Name : 182300 - DO AMRAVATI Bank Code : 9100(C-PORTAL-01)

Collection No. : 51-01/8710006687 Posted Doc No. : 8710006687
Collection Date : 26/11/2020 10:44 Posted Doc Dt.. : 26/11/2020
Received with thanks From Sh./Smt./ M/s. : Shrikant Kailasrao Khawale
The Sum of : Indian Rupees Three Thousand Seventy-Eight Only

Towards the following : Premium collections

Sl Dept. Policy No. Policy End/Ren/Dec/ Dev. Off. Code Source Amount C/D GL SL Code Pay Bank Bank Instrument Instr. Dt./CC
No. Code Status Claim No. Code Collected Code Mode Name Branch No. Exp. Dt.

1 48 2021/5485 New 3,078.00 C 5083 AA0000000001 CC ICICI ***********00 06/12/2020

Policy 91
Total 3,078.00

GST : Rs. 470

FOR THE ORIENTAL INSURANCE COMPANY LTD
GST NO Of Insured :0
Policy Type / Zone : CORONA KAVACH
POLICY-Oriental-
FAMILY FLOATER
PLAN

This Receipt is Electronically Generated

CIN: U66010DL1947GOI007158 IRDA Regn. No. 556 - All the amounts mentioned in this report are in Indian Rupees