332996510_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Newdelhi CBO

LIC OF INDIA,NEWDELHI CBO 33B
Transaction No : 6112591
JEEVAN PRAVAH,2ND FLOOR,DISTT
Date ( Time ): 23/05/2021 ( 16:16:29 ) NEW DELHI,110058
Email: BO_33B@LICINDIA.COM
Receipt No : PR0611259100012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 12,979.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Aradhana Kumari Singh

towards the following :

Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
Revival Sum Assured Due To CD Charges Total Amt Reg. No.
Agency Code
(Yes/No) (`) (`) (`)
332996510 14 / 16 12,979.00 1 12,979.00 0.00 33B
Aradhana 22/11/2013 HLY 05/21 0.00 0.00 11/21
No 05/21 0.00 12,979.00 07AAACL0582H1ZO
00000 4,00,000

Page Total (`) 12,979.00 12,979.00 0.00

0.00 0.00
0.00 12,979.00
Grand Total (`) 12,979.00 12,979.00 0.00
0.00 0.00
0.00 12,979.00

GST borne by LIC of India ` 292.02

TWELVE THOUSAND NINE HUNDRED SEVENTY NINE RUPEES AND ZERO PAISE ONLY

Aradhana Kumari Singh

Consolidated Stamp Duty Paid
S-53, School Block
Shakarpur CSD/113/2020/1936 DTD. 18.09.2020
Delhi

110092 Payment Acknowledgement generated through

Online Portal on 23-May-21 Time : 16:18:22.
Mobile: 99******40
Email: ar********gh@gmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!