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    PR0004984480

    Uploaded by

    Ajit Shetty
    This receipt document provides details of an insurance payment made by PATTABI CHINNADORAI KANGAYYA for COI # C/01/2023/001815334. It confirms receipt of the 2nd installment payment of 5 AED against a tax invoice. A total of 13 AED in installments have been received so far, with 10 installments remaining outstanding for a balance of 50 AED to be paid in agreed installments by the due date of 12-04-2024. The receipt was generated electronically through the company's system and does not require any signature.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    PR0004984480

    Uploaded by

    Ajit Shetty
    51 views1 page
    This receipt document provides details of an insurance payment made by PATTABI CHINNADORAI KANGAYYA for COI # C/01/2023/001815334. It confirms receipt of the 2nd installment payment of 5 AED against a tax invoice. A total of 13 AED in installments have been received so far, with 10 installments remaining outstanding for a balance of 50 AED to be paid in agreed installments by the due date of 12-04-2024. The receipt was generated electronically through the company's system and does not require any signature.

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    This receipt document provides details of an insurance payment made by PATTABI CHINNADORAI KANGAYYA for COI # C/01/2023/001815334. It confirms receipt of the 2nd installment payment of 5 AED against a tax invoice. A total of 13 AED in installments have been received so far, with 10 installments remaining outstanding for a balance of 50 AED to be paid in agreed installments by the due date of 12-04-2024. The receipt was generated electronically through the company's system and does not require any signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    51 views1 page

    PR0004984480

    Uploaded by

    Ajit Shetty
    This receipt document provides details of an insurance payment made by PATTABI CHINNADORAI KANGAYYA for COI # C/01/2023/001815334. It confirms receipt of the 2nd installment payment of 5 AED against a tax invoice. A total of 13 AED in installments have been received so far, with 10 installments remaining outstanding for a balance of 50 AED to be paid in agreed installments by the due date of 12-04-2024. The receipt was generated electronically through the company's system and does not require any signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Dubai Insurance Company Psc, Head Office, Al Rigga Road, PO Box 3027, Dubai, UAE

    TRN: 100032059600003

    Receipt / ‫ﺳﻨﺪ ﻗﺒﺾ‬

    Receipt Number PR0004984480 ‫ﺭﻗﻢ ﺳﻨﺪ ﺍﻟﻘﺒﺾ‬


    Receipt Date 13-06-2023 ‫ﺗﺎﺭﻳﺦ ﺳﻨﺪ ﺍﻟﻘﺒﺾ‬
    Name of the Insured worker PATTABI CHINNADORAI KANGAYYA ‫ﺍﺳﻢ ﺍﻟﻌﺎﻣﻞ ﺍﻟﻤﺆﻣﻦ ﻋﻠﻴﻪ‬
    CHINNADORAI
    Emirates ID No./UID number 784198160963769 ‫ ﺍﻟﺮﻗﻢ ﺍﻟﻤﻮﺣﺪ‬/ ‫ﺭﻗﻢ ﺍﻟﻬﻮﻳﺔ ﺍﻹﻣﺎﺭﺍﺗﻴﺔ‬
    COI # C/01/2023/001815334 ‫ﺭﻗﻢ ﺷﻬﺎﺩﺓ ﺍﻟﺘﺄﻣﻴﻦ‬
    Payment Plan (monthly/quarterly/yearly) Monthly ‫ﺩﻭﺭﻳّﺔ ﺍﻟﺴﺪﺍﺩ‬

    Due Date of last installment 12-04-2024 ‫ﺗﺎﺭﻳﺦ ﺍﺳﺘﺤﻘﺎﻕ ﺍﻟﺪﻓﻌﺔ ﺍﻷﺧﻴﺮﺓ ﻣﻦ ﺍﻟﻘﺴﻂ ﺍﻟﺘﺄﻣﻴﻨﻲ‬

    Instalment number 2nd ‫ﺭﻗﻢ ﺍﻟﺪﻓﻌﺔ‬


    Number of instalments paid (including 2 (‫ﻋﺪﺩ ﺍﻟﺪﻓﻌﺎﺕ ﺍﻟﻤﺴﺪﺩﺓ )ﻣﺘﻀﻤﻨﺔ ﻫﺬﻩ ﺍﻟﺪﻓﻌﺔ‬
    this instalment)
    Number of instalments outstanding 10 ‫ﻋﺪﺩ ﺍﻟﺪﻓﻌﺎﺕ ﺍﻟﻤﺘﺒﻘﻴﺔ‬
    Payment against Tax Invoice 0001815333 ‫ﺍﻟﺪﻓﻌﺔ ﺿﺪّ ﺍﻟﻔﺎﺗﻮﺭﺓ ﺍﻟﻀﺮﻳﺒﻴّﺔ ﺭﻗﻢ‬
    Tax Invoice date 12-05-2023 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻔﺎﺗﻮﺭﺓ ﺍﻟﻀﺮﻳﺒﻴّﺔ‬
    Amount received 5.00 ‫ﺍﻟﻤﺒﻠﻎ ﺍﻟﻤُﺴﺪﺩ‬
    Payment Reference Number R0001811518 ‫ﺭﻗﻢ ﺍﻟﺪﻓﻌﺔ ﺍﻟﻤﺮﺟﻌﻲ‬
    Payment made through Worker ‫ﺁﻟﻴﺔ ﺳﺪﺍﺩ ﺍﻟﺪﻓﻌﺔ‬

    Total instalments received with VAT 13.00 ‫ﺇﺟﻤﺎﻟﻲ ﺍﻟﺪﻓﻌﺎﺕ ﺍﻟﻤُﺴﺪﺩﺓ ﺷﺎﻣﻞ ﺿﺮﻳﺒﺔ ﺍﻟﻘﻴﻤﺔ ﺍﻟﻤﻀﺎﻓﺔ‬

    Balance to be received in agreed 50.00 ‫ﺇﺟﻤﺎﻟﻲ ﺍﻟﺪﻓﻌﺎﺕ ﺍﻟﻤﺘﺒﻘﻴﺔ ﺍﻟﻤﺴﺘﺤﻘﺔ ﻣﻦ ﺍﻟﻘﺴﻂ‬


    instalments (AED) ‫ﺍﻟﺘﺄﻣﻴﻨﻲ‬

    ‫ ﻭﻗﺪ‬،‫ﻻ ﻳﺤﺘﺎﺝ ﺳﻨﺪ ﺍﻟﻘﺒﺾ ﻫﺬﺍ ﺇﻟﻰ ﺧﺘﻢ ﺃﻭ ﺗﻮﻗﻴﻊ‬


    This is a system generated document
    ّ‫ﺻﺪﺭ ﺑﺼﻮﺭﺓ ﺇﻟﻜﺘﺮﻭﻧﻴّﺔ ﻣﻦ ﺧﻼﻝ ﺍﻟﻨﻈﺎﻡ ﺍﻹﻟﻜﺘﺮﻭﻧﻲ‬
    does not need any signature

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