E-Receipt

PolicyNo

SL No	OR No	OR Date	Installment No	PR No	Action

Bismillahir Rahmanir Rahim
Mercantile Islami Life Insurance Ltd.
36, Kakrail, Dhaka-1000.
Email:info@milil.com.bd; Website:www.milil.com.bd; Hotline: 09603001122.

E-Receipt

Proposal No	:
Date	:
Bill Type	:

Father Name :	Mobile No :	Plan & Term :
		-
Commencement Date :	Risk Date :	Duration :
		-
Sum Assured :	Payment Mode :	Total Installment :

PR No	:
Next Due Date	:

Paid Installment	:
Paid Premium	:
Late Fee	:
Premium Paid Adjust	:
Extra Payment	:

In Word : Taka Only
Organizer : /////

This RECEIPT is computer generated, authorized signature is not required.