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SQ Collectionreceipt 98335840

The document is an adjustment voucher from The New India Assurance Co. Ltd. detailing a cash deposit of ₹850.00 towards policy number 73160031241800019957, received from the insured, Senthilkumar S. It includes payment details, utilization of the collected amount, and a note about the liability of the company regarding claims during the payment period.

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10 views2 pages

SQ Collectionreceipt 98335840

The document is an adjustment voucher from The New India Assurance Co. Ltd. detailing a cash deposit of ₹850.00 towards policy number 73160031241800019957, received from the insured, Senthilkumar S. It includes payment details, utilization of the collected amount, and a note about the liability of the company regarding claims during the payment period.

Uploaded by

ss.916gold.ss
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

ADJUSTMENT VOUCHER
Issuing Office : TALLAKULAM DIVISIONAL OFFICE (731600)
Address : 34, ALAGAR KOIL ROAD, TALLAKULAM, MADURAI

,625002
MADURAI
Insured Pan Number :
Phone : 04522530870
Email : nia.731600@newindia.co.in
Fax :
Collection Number : 73160081240000017852
Collection Date : 08/10/2024
Business Source Code : DE00003043
PAN No of Payer :

Received with thanks from SENTHILKUMAR S.

The amount received/Adjusted is towards -


Policy No. A/C Description Amount` A/C Code Sub A/C Code
73160031241800019957 Cash Deposit 850.00 5076.731600 CD0001752895
Account-731600
Total = ` 850.00

Your Payment/Adjustment Details are as under -


Mode Amount ` Cheque Cheque Date Drawee Bank Drawee Branch Reference No. Scroll/BG/A
No. PD Balance
Advance 850.00 N.A. N.A. N.A. N.A. 7316002410073410 18873.00
Premium
Deposit
Total = ` 850.00

Utilization details of the Collected Amount :


Premium GST Stamp Duty Excess Amount
720.00 130.00 0.00 0
Sl no. Agency Code Agency Name Department Code
1 NIAAG00013723 JOTHIMANI A 31

For The New India Assurance Company Limited

__________
| |
| |
| |
| |
|__________|
Date of Issue: 08/10/2024

(Ms LAKSHMI P S)
[Sr Div Manager]

Cashier's Initial Authorized Signatory

Note -
1.Please note the Policy Number, Collection Number and date in all future correspondence. .
2.NIA shall not be liable for any claim arising out of sales made during the period between the due date and date of payment of the
installment if the premium paid has been exhausted by turnover declarations/if there is insufficient premium balance.

Signature Not
Verified
Digitally signed
by DHIRAJ
KUMAR
Date: 2024.10.08
13:13:53 IST
Policy No. : 73160031241800019957Document generated by AG_JOTHI23 at 08/10/2024 13:13:35 Hours.
Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

We hereby declare that though our aggregate turnover in any preceding financial year from
2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48,
we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

Tax Invoice No : 73160024P0027434

IRDA Registration Number: 190


NIA PAN NUMBER: AAACN4165C

Policy No. : 73160031241800019957Document generated by AG_JOTHI23 at 08/10/2024 13:13:35 Hours.


Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

Page 2 of 2

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