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Premium Payment Receipt

Customer Copy

Dear Mr./Ms. SANDIP PRAMANICK

The following transaction has been completed successfully.

Request Type : Premium Payment

Policy Number : R-WB-EA-245228

Customer ID : 56521044

No of Premiums : 6

Premium : 3240.00

Premium Paid From : 01/07/2022

Premium Paid Till : 31/12/2022

CGST : 36.29

SGST/UTGST 36.29

Total GST : 73.00

GST Number : 07AAAGH0019M2ZK

Rebate : 14.00

Default : 0.00

Excess Amount : 0.00

Total Paid Amount * : 3304.00

Transaction Number : OR0011352112

Receipt Number : 496013263

Receipt Date and Time : 19/08/2022 11:43:14

*Excluding Payment Gateway Transaction charges

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