The Oriental Insurance Company Ltd.

DO SAMBALPUR V.S.S.MARG , ODISHA , , SAMBALPUR , 768001

GST NO : 21AAACT0627R3Z9
RECEIPT

Office Code & Name : 345600 - BO VSS MARG SAMBALPR Bank Code : 9100(C-PORTAL-01)
Collection No. : 51-01/4145000432 Posted Doc No. : 4145000432
Collection Date : 19/04/2024 17:52 Posted Doc Dt.. : 19/04/2024
Received with thanks From Sh./Smt./ M/s. : MR.MANAS RANJAN SAHU
The Sum of : Indian Rupees Thirty-Five Thousand Forty-Seven 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 31 2025/533 New NG0000000440 BA00000 35,047.00 C 5083 AA0000000001 CC ONLINE ***********00 29/04/2024
Policy 99529 PAYMENT 91
Total 35,047.00

Vehicle Make : NEXON CREATIVE+ BSVI PHASE 2 FOR THE ORIENTAL INSURANCE COMPANY LTD
Regn. Number : NEW
GST : Rs. 5346 Re. 1/-
Rev. Stamp
GST NO Of Insured :0
Policy Type / Zone : BUNDLED POLICY --- ZONE B

RAJESH ACCEL

This Receipt is Electronically Generated

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