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  • Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

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    Vk Sumanth
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    The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 2,802 from Ashishkumar Nannuram towards renewal of his insurance policy number 871997103. The receipt provides key details of the policy such as the agency code, sum assured of Rs. 200,000, installment due and payment details. It confirms receipt of the full premium amount without any late fees.

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    this my lic cer

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    Aug-13 Jeevn Anandlic

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    The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 2,802 from Ashishkumar Nannuram towards renewal of his insurance policy number 871997103. The receipt provides key details of the policy such as the agency code, sum assured of Rs. 200,000, installment due and payment details. It confirms receipt of the full premium amount without any late fees.

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    12 views1 page

    Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

    Uploaded by

    Vk Sumanth
    The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 2,802 from Ashishkumar Nannuram towards renewal of his insurance policy number 871997103. The receipt provides key details of the policy such as the agency code, sum assured of Rs. 200,000, installment due and payment details. It confirms receipt of the full premium amount without any late fees.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    Collecting Branch : EPS1 E-mail : bo_eps1@licindia.com Phone : +91-022-1251 Transaction No.

    : PR0377392100011314 Date ( Time ): 19/08/2013 ( 10:51:21 )

    Servicing Branch : 879 LIC of India, Vadodara CAB IV 2nd Floor Wakaskar Chambers Prof Manekrao Rd Near Navrang Complex. Vadodara Vadodara Gujarat 390001

    RENEWAL PREMIUM RECEIPT


    Received with thanks Rs. 2802.00 through Payment Gateway over the Internet from: Smt./Ms./Shri : Ashishkumar Nannuram Towards the following Plan Term D.O.C. 149 Nannuram A 77 0082987B 10/08/2010 Page Total (Rs) Policy No Name Agency Code 871997103 Inst. Prem(Rs) Mode Sum Assured 2,802.00 QLY 2,00,000.00 2,802.00 No Of Inst Due Fr Due To 1 08/13 08/13 Total Premium Late Fee 2,802.00 0.00 2,802.00 0.00 2,802.00 0.00 Service Tax Edu Cess Total Amt 0.00 0.00 2,802.00 0.00 0.00 2,802.00 0.00 0.00 2,802.00 Branch Next Due 879 11/13

    Grand Total (Rs)

    2,802.00

    RUPEES TWO THOUSAND EIGHT HUNDRED TWO ONLY Ashishkumar Nannuram C/122,Ashalata Park Society, Nr. Kamla Nagar Society, Sayaji Park,Ajwa Road,Vadodara 390019 This receipt is electronically generated.

    Signature Not Verified


    Digitally signed by REKHA VARSHNEY Date: August 19, 2013 10:51:21 AM IST Reason: Premium Receipt Location: LIC OF INDIA

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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