The Oriental Insurance Company Ltd.
BO ESPLANADE Immediate Claim intimation(excluding Marine Hull and Health claim) be sent to
410011@[Link] , , UIL BUILDING, 4TH FLOOR , CHENNAI , 600108
GST NO : 33AAACT0627R3Z4
RECEIPT
Office Code & Name : 411200 - BO ESPLANADE CHENNAI Bank Code : 9100(C-411200-01)
Collection No. : 51-01/5005000317 Posted Doc No. : 5005000317
Collection Date : 28/04/2025 15:17 Posted Doc Dt.. : 28/04/2025
Received with thanks From Sh./Smt./ M/s. : MRS LAKSHMI VISWANATHAN
The Sum of : Indian Rupees Twenty-Nine Thousand Six Hundred Sixteen 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 48 2026/257 New NY0000000744 BB00000 29,616.00 C 5083 AA0000000001 CHQ POST MYLAPOR 487968 26/04/2025
Policy 00200 OFFICE E
SAVINGS
BANK
Total 29,616.00
GST : Rs. 4518
FOR THE ORIENTAL INSURANCE COMPANY LTD
GST NO Of Insured :0
Policy Type / Zone : ORIENTAL Re. 1/-
MEDICLAIM Rev. Stamp
INSURANCE
POLICY(INDIVIDUA
L) - 2024 Cashier / Authorised Signatory
J SURYA PRAKASH
Note : For Payment by cheque , receipt will be valid subject to realisation of Cheque
CIN: U66010DL1947GOI007158 IRDA Regn. No. 556 - All the amounts mentioned in this report are in Indian Rupees