Collecting Center : A002 Branch Code : 647

LIC of India, Nizamabad Branch Office

Transaction No. : 79726234 Yellammagutta,
Nizamabad,
Date ( Time ): 14/12/2019 ( 14:36:11 ) Nizamabad,, 503001
email: bo_647@licindia.com
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 1,909.04 from policyholder Shri/Smt.Kottekat Narendran A/S K.Narendhar
towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch

Name Term Mode Due Fr Late Fee SGST*/UTGST Next Due
Agency D.O.C. Sum Assured Due To CD Chgs + Total Amt Reg. No.
Code Xcharge
600937836 75 1,857.00 1 1,857.00 3.97 647
Narendran K 20 HLY 09/19 44.10 3.97 03/20
03333647 28/03/2004 51,000.00 09/19 0.00 + 0.00 1,909.04 36AAACL0582H1ZN
Page Total (Rs) 1,857.00 1,857.00 3.97
44.10 3.97
0.00 1,909.04
Grand Total (Rs) 1,857.00 1,857.00 3.97
44.10 3.97
0.00 1,909.04

RUPEES ONE THOUSAND NINE HUNDRED NINE AND FOUR PAISE ONLY
Paid by Cash/Card :1,909.04
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Kottekat Narendran A/S K.Narendhar Consolidated Stamp Duty Paid

Hno 5-11-568,C/O Durgadas
P T Colony,Yellammagutta,
Nizamabad For Life Insurance Corporation of India,
503003. Singam Narsaiah(675170)
Mobile:

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 41.78

Har Pal Aapke Sath!!