Wie Smratanian Sehora
‘5/0 Rajaram Behera
1498 Riv Hogar
Po agin
Bhubaneswar - 751019
Orssa
CONTACT NO; DaraBHO
(GRGON $$REUGARE
WEEE
eceip i. 3521653772222
Renewal remiu Receipt for 30/07/2014
Fame ofthe Paley Heder Ne Smraianan
Product Name "ARGON Religare Ring Str Plan (UN T38ROVOT)
Branch ame ‘Bbanestwar Branch
Date wrnsr20t
Policy Nomber Hor s96705
‘ent PRI BERRA
Premion Amount Rn fgures)* 15.00.00
(Lid Bromli Ameunt Ran figures) 0.00
“Total Premium Amount sn figures 5000.00,
Total Premium Amount Re, words)
Fiften Thousand Rupees Only
Nese Pomiam Due Bate 3a7eN OTE
Frequency Mode Semi-Annual
Payment Node reat Cars
Date of Commancement
aor
‘Ride premium mentioned above refers to premium pal for Creal ees rider opted.
Unie Statement Sunmary a on 09/08/20:4
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