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

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    This document is a renewal premium acknowledgment from LIC of India for policy number 104466631 of Sandeep Singh Bhati. It acknowledges receipt of Rs. 1,837 for the quarterly installment premium towards the renewal of the 165 plan with a sum assured of Rs. 150,000. The policy was originally issued on November 7, 2009 through agency code 109361261 of the servicing branch 1261 in Pali, Rajasthan. The next premium is due on February 2017.

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    PrmPayRcpt-PR1111059500011617

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    This document is a renewal premium acknowledgment from LIC of India for policy number 104466631 of Sandeep Singh Bhati. It acknowledges receipt of Rs. 1,837 for the quarterly installment premium towards the renewal of the 165 plan with a sum assured of Rs. 150,000. The policy was originally issued on November 7, 2009 through agency code 109361261 of the servicing branch 1261 in Pali, Rajasthan. The next premium is due on February 2017.

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    18 views1 page

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

    Uploaded by

    ANIL
    This document is a renewal premium acknowledgment from LIC of India for policy number 104466631 of Sandeep Singh Bhati. It acknowledges receipt of Rs. 1,837 for the quarterly installment premium towards the renewal of the 165 plan with a sum assured of Rs. 150,000. The policy was originally issued on November 7, 2009 through agency code 109361261 of the servicing branch 1261 in Pali, Rajasthan. The next premium is due on February 2017.

    Copyright:

    © All Rights Reserved
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    of 1

    Collecting Branch : EPS1

    E-mail : bo_eps1@licindia.com
    Phone : +91-022-1251

    Servicing Branch : 1261


    LIC of India, Pali Branch Office No 2
    Jeevan Jyoth' Mandia Road
    Pali
    Marwar [Rajasthan]
    Pali
    306401

    Transaction No. : PR1111059500011617


    Date ( Time ): 01/12/2016 ( 20:57:27 )

    RENEWAL PREMIUM ACKNOWLEDGEMENT


    Received with thanks Rs. 1837.00 through Payment Gateway over the Internet from:
    Smt./Ms./Shri : Sandeep Singh Bhati
    Towards the following
    Policy No
    Name
    Agency Code
    104466631

    Plan
    Term
    D.O.C.
    165
    Bhati Ss
    16
    109361261
    07/11/2009
    Page Total (Rs)

    Inst. Prem(Rs)
    Mode
    Sum Assured
    1,837.00
    QLY
    1,50,000.00
    1,837.00

    Grand Total (Rs)

    1,837.00

    No Of Inst
    Due Fr
    Due To
    1
    11/16
    11/16

    Total Premium
    Late Fee
    CD Charges
    1,837.00
    0.00
    0.00
    1,837.00
    0.00
    0.00
    1,837.00
    0.00
    0.00

    Service Tax
    Edu Cess
    Total Amt
    0.00
    0.00
    1,837.00
    0.00
    0.00
    1,837.00
    0.00
    0.00
    1,837.00

    Branch
    Next Due
    1261
    02/17

    RUPEES ONE THOUSAND EIGHT HUNDRED THIRTY-SEVEN ONLY


    Sandeep Singh Bhati
    S/O Sh.Sajjan Singh Ji,
    547,Rajendra Nagar Vistar,Opp.Radha -Krishna Temple,Bhagesar Road,Pali
    306401

    Payment Acknowledgement generated through Online


    Portal on 01-Dec-2016 Time : 21:00:15.

    This receipt is electronically generated.

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


    Page 1of1

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