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Star Self 1 FY24-25

The document is a collection receipt from Star Health And Allied Insurance Company Limited for a premium payment of Rs. 9,316 made by the customer Nikhil Niranjan on September 13, 2024. It includes details such as the customer code, address, payment mode, and bank information. The receipt serves as evidence of payment, with risk coverage commencing upon proposal acceptance.

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nikhil.niranjan
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26 views1 page

Star Self 1 FY24-25

The document is a collection receipt from Star Health And Allied Insurance Company Limited for a premium payment of Rs. 9,316 made by the customer Nikhil Niranjan on September 13, 2024. It includes details such as the customer code, address, payment mode, and bank information. The receipt serves as evidence of payment, with risk coverage commencing upon proposal acceptance.

Uploaded by

nikhil.niranjan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Star Health And Allied Insurance Company Limited

Indra Arcade,# 81 1st floor, Dr Rajkumar Road Prakashnagar,


3rd Stage, Rajaji Nagar
Bengaluru City Karnataka-560021
Phone: 080-49438000 Telefax:

Collection Receipt

Customer Code : BP0042410063 Collection No : 141123/RV/2025/0161087962


Received From : NIKHIL NIRANJAN Collection Date : 13-Sep-2024
Customer Address : Flat No. 2004, Tower - H, Office Code : 141123 - Branch Office -
Bestech Parkview Sanskruti Rajaji Nagar
Apartment . . GSTIN : 29AAJCS4517L1ZU
Harsaru Haryana 122505 Place of Supply : Karnataka
Customer mobile : 991XXXXX55 Type of proposal : Renewal
number
Customer GSTIN : NO State Code : 29
Amount Collected : Rs. 9,316/-
Amount in words : INDIAN RUPEES Nine thousand three hundred sixteen only
Towards the Following : Amount Receipted towards Premium
Sr. Proposal Fulfiller Intermediary Amount Mode of Bank CHQ/CC/DD CHQ/DD/BC
No Ref. No Code Code Collected payment Name No Dt.
(Rs)
1 61256290652 SH66123 BA0000007235 9,316/- Payment Legacy 20942253039 13-Sep-2024
5 Gateway Bank
Branch

For Star Health and Allied Insurance Co. Ltd.

Authorised Signatory

Note : Receipt Subjected 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.
“Available modes of payments of Premium: Cash, Cheque, DD, Net Banking, RTGS/NEFT, Credit Card, Debit
Card, UPI, Payment Gateway(PAYTM, PAYU, AIRPAY, BBPS, CSC, UBONA).”
''CONSOLIDATED STAMP DUTY FOR REVENUE STAMPS PAID VIDE ORDER NO. NO CR0820003000080399 FROM
DT 07.08.2020''

CN=NAGARAJAN RANGANATHAN,

NAGARAJAN RANGANATHAN SERIALNUMBER=571a5eb638953f23a816eb6b4ba547263f54f12c3eb01eeffe482ca5cef2a530, ST=KARNATAKA,


OID.2.5.4.17=560097, OID.2.5.4.20=6790b30666b75b5b38bb63bf7adee63ad3d22e5d7442f0f2901f2e91fd09c393,
OID.2.5.4.65=3d419b0bb1a244e29097659c201722ac, O=PERSONAL, C=IN. Date :Fri Sep 13 15:43:53 IST 2024
Page 1 of 1
IRDAI Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: [email protected]

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 : L66010TN2005PLC056649 Email :[email protected]
Website :www.starhealth.in IRDAI Regn.no: 129

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