The Oriental Insurance Company Ltd.
BC PERINTHALMANNA ROYAL BUILDING, JUBILEE JUNCTION, , CALICUT ROAD, PERINTALMANNA, ,
MALAPPURAM DISTICT - 679 322 , MJI , 679322
GST NO : 32AAACT0627R3Z6
RECEIPT
Office Code & Name
: 442790 - BC PERINTHALMANNA
Bank Code
: 9100(C-PORTAL-01)
Collection No.
: 51-01/9265000967
Posted Doc No.
: 9265000967
Collection Date
: 29/06/2019 11:50
Posted Doc Dt..
: 29/06/2019
Received with thanks From Sh./Smt./ M/s.
: ABDUL KHADAR
The Sum of
: Indian Rupees One Thousand Three Hundred Twelve Only
Towards the following
: Premium collections
Sl
No.
Dept. Policy No. Policy End/Ren/Dec/ Dev. Off. Code Source
Code
Status Claim No.
Code
1
31
2020/1021 New
Policy
NA0000009106 BA00001
46141
Total
Amount C/D GL
SL Code
Collected
Code
1,312.00
C
5083
Pay
Mode
AA0000000001 CC
Bank
Name
ICICI
Bank
Branch
Instrument Instr. Dt./CC
No.
Exp. Dt.
***********00 09/07/2019
91
1,312.00
Vehicle Make
: DREAM YUGA DREAM YUGA BS-IV
Regn. Number
GST
: KL 11 AN 5872
: Rs. 200
GST NO Of Insured
:0
Policy Type / Zone
: LIABILITY ONLY
POLICY
--- ZONE B
This Receipt is Electronically Generated
CIN: U66010DL1947GOI007158 IRDA Regn. No. 556 - All the amounts mentioned in this report are in Indian Rupees
FOR THE ORIENTAL INSURANCE COMPANY LTD