& shtwea salts seat fears (area Bae FTG STA) esiige aratrr: attest erat G.a1.4-7037 8.25/27, TTS ort We, AE Reet-110 002. THE ORIENTAL INSURANCE COMPANY (A Govt. of India Undertaking) Corporate & Regd. Office : Oriental House, P.B, No. 7037, A-25/27, Asaf Ali Raad, New Delhi CIN No. U66010DL1947GO1007158 The Oriental Insurance Company Ltd. DO 8, CHENNAI Immediate Claim intimation(excluding Marine Hull and Health claim) be sent to 41001 1@orientalinsurance.co.in , NO 89, SHREE PANKAJ COMPLEX , PERAMBUR BARRACKS ROAD,PURASAWALKKAM, , CHENNAI , 600007 GST NO : 33AAACTO627R3Z4 Otfice Code & “41190000 6 CHENNAL RECEIPT anc code s100(e-411800-0%) | Cotton No s1-01sor7006293 Posted Doc No, = 5017006283 Colietion Dat rsiwaz02s 12:58 Posted Doe Dt. = 15027021 | Rsceve wih thank From SRW, ARAVINOAR ‘The Sum of Indian Rupees Thirty-One Thousan Six Huead Thiny-Four Only to he following Premium eotecions ‘st Policy Ne. Polley EndiRoniDee Dev. OW. Code Source ‘Amount CiD GL Si Code Pay Bank Bank Instrument instr. OCC ne. Sie Clim ha Sos CStecins °° ote Meta Name Branch Na expt 148 20210815 Wow ‘zocooneee we00000 ——~s0082G0 ste pAg00OGGG001 CHO AXIS CHaS 0000} 1302021 Pater oot ec 0 f Paty ~ 404 ss ae FOR THE ORIENTAL INSURANCE COMPANY LTD | ost wo of tneured ° ast mo of Insured . Policy Type Zone appv ey Feoareraors bape rau Floateraors |_| Neto: Fer Payment by cheaue cet wi be vad suet to relation of Chea ‘cn: U6501004 1847601007158 IROA Regn No. S56 At Ihe amouns menonadin ths pon ar in nian Rupees