LIC Rs 711 Premium Receipt 030220

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Collecting Branch : EPS1 Servicing Branch : LIC of India, Mumbai Branch

Jeevan Prakash 3rd Flr


Transaction No : 25489646
Sir P M Rd Fort.,Mumbai
Date ( Time ): 02/02/2020 ( 21:19:21 ) Mumbai,400001
bo_eps1@licindia.com
Receipt No : PR2548964600011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 711.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Ashish Arvind Raje


towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch


Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
900684540 14 711.00 1 711.00 0.00 919
Mr.Ashish 28 YLY 03/20 0.00 0.00 03/21
73977919 01/03/1993 03/20 0.00 711.00 27AAACL0582H1ZM
20,000.00

Page Total (`) 711.00 711.00 0.00


0.00 0.00
0.00 711.00
Grand Total (`) 711.00 711.00 0.00
0.00 0.00
0.00 711.00

GST borne by LIC of India ` 16.00


SEVEN HUNDRED ELEVEN RUPEES AND ZERO PAISE ONLY

Ashish Arvind Raje


602 A 7 Pratapgad Shree Complex
Adharvadi
Kalyan

400000 Payment Acknowledgement generated through


Online Portal on 02-Feb-20 Time : 21:21:19.
Mobile: 9819483919
Email: rajeashish@rediffmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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