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    Asian Deckers
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    This receipt confirms that Varsha Arjunbhai Nikam successfully paid their insurance premium of Rs. 5,100 for policy number 0000005440073 from November 1st, 2023 to November 30th, 2023. The total payment of Rs. 5214 included Rs. 114 in GST and was completed on November 11th, 2023 at 3:00 AM as recorded by transaction number OR0017085362 and receipt number 586621487.

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    This receipt confirms that Varsha Arjunbhai Nikam successfully paid their insurance premium of Rs. 5,100 for policy number 0000005440073 from November 1st, 2023 to November 30th, 2023. The total payment of Rs. 5214 included Rs. 114 in GST and was completed on November 11th, 2023 at 3:00 AM as recorded by transaction number OR0017085362 and receipt number 586621487.

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

    Premium Payment

    Uploaded by

    Asian Deckers
    This receipt confirms that Varsha Arjunbhai Nikam successfully paid their insurance premium of Rs. 5,100 for policy number 0000005440073 from November 1st, 2023 to November 30th, 2023. The total payment of Rs. 5214 included Rs. 114 in GST and was completed on November 11th, 2023 at 3:00 AM as recorded by transaction number OR0017085362 and receipt number 586621487.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    Premium Payment Receipt

    Customer Copy

    Dear Mr./Ms. VARSHA ARJUNBHAI NIKAM

    The following transaction has been completed successfully.

    Request Type : Premium Payment

    Policy Number : 0000005440073

    Customer ID : 75438161

    No of Premiums : 1

    Premium : 5100.00

    Premium Paid From : 01/11/2023

    Premium Paid Till : 30/11/2023

    CGST : 57.00

    SGST/UTGST 57.00

    Total GST : 114.00

    GST Number : 07AAAGH0019M2ZK

    Rebate : 0.00

    Default : 0.00

    Excess Amount : 0.00

    Total Paid Amount * : 5214.00

    Transaction Number : OR0017085362

    Receipt Number : 586621487

    Receipt Date and Time : 11/11/2023 03:00:33

    *Excluding Payment Gateway Transaction charges

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