Scribd Logo
Upload

Welcome to Scribd!

  • Advance Premium Receipt for Vellore Branch Office

    Uploaded by

    mano adhi
    18 views1 page
    Mr. K. Mani paid an advance premium of Rs. 40,468 towards an online insurance policy proposal reference number R/111215/01/2022/016969. The payment was made via credit card at the Branch Office in Vellore on June 24, 2022. The receipt is subject to realization of the payment and risk will commence once the proposal is examined and accepted by Star Health and Allied Insurance Co. Ltd.

    Original Description:

    Original Title

    Medical Ins

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    Mr. K. Mani paid an advance premium of Rs. 40,468 towards an online insurance policy proposal reference number R/111215/01/2022/016969. The payment was made via credit card at the Branch Office in Vellore on June 24, 2022. The receipt is subject to realization of the payment and risk will commence once the proposal is examined and accepted by Star Health and Allied Insurance Co. Ltd.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views1 page

    Advance Premium Receipt for Vellore Branch Office

    Uploaded by

    mano adhi
    Mr. K. Mani paid an advance premium of Rs. 40,468 towards an online insurance policy proposal reference number R/111215/01/2022/016969. The payment was made via credit card at the Branch Office in Vellore on June 24, 2022. The receipt is subject to realization of the payment and risk will commence once the proposal is examined and accepted by Star Health and Allied Insurance Co. Ltd.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Branch Office - 25, 1st East Main Rd, Suthanthira Ponvizha Nagar, Gandhi Nagar, Vellore - 632006 , , , 632

    006

    Advance Premium Receipt


    Customer Code : AA0014508684

    Received from : Mr.K.MANI

    Customer Address : S/O, KARNAN, NO: 1/252, BAJANAI KOIL ST, Collection No : 11-01/1162005005

    ELAVAMBADI, VELLORE-632105 Collection Date : 24/06/2022


    Office Code : 111215 - Branch Office - Vellore

    Supplier GSTIN : 33AAJCS4517L1Z5

    Customer GSTIN : - Place of Supply : - State Code: -

    Amount Collected : Rs. 40468 /- Inclusive of tax :


    Amount in words : Forty Thousand Four Hundred and Sixty Eight Only

    Towards the Following : PREMIUM RECEIPT ONLINE POLICY

    S. No. Proposal Ref. No Fulfiller Code Intermediary Code Amount Collected Mode of Pay Bank Name CHQ/CC/DD No CHQ/DD/BC Dt

    1 R/111215/01/2022/016969 SH34122 BA0000319887 40468 CC VISA 10873539768 24/06/2022

    For Star Health and Allied Insurance Co. Ltd

    Note : Receipt Subject to realization of Cheque / DD


    This is only an evidence of receipt of money by the company
    Risk will commence once the proposal is examined and accepted Authorised Signatory

    IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email id : info@starhealth.in

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No:1800-425-5522 Toll Free No:1800-425-2255 / 1800-102-4477,CIN
    :U66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129

    You might also like