425428865_1

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

LIC OF INDIA,BERHAMPORE BRANCH
Transaction No : 13108547
KRISHNANATH
Date ( Time ): 26/07/2021 ( 16:56:18 ) ,742101
Email: BO_446@LICINDIA.COM
Receipt No : PR1310854700022122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 5,682.94 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sahiful Islam

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) (`) (`) (`)
425428865 149 / 75 5,528.00 1 5,528.00 11.82 446
Sahiful Islam 28/04/2006 HLY 04/21 131.30 11.82 10/21
Yes 04/21 0.00 5,682.94 19AAACL0582H1ZJ
05744446 2,10,000

Page Total (`) 5,528.00 5,528.00 11.82

131.30 11.82
0.00 5,682.94
Grand Total (`) 5,528.00 5,528.00 11.82
131.30 11.82
0.00 5,682.94

GST borne by LIC of India ` 124.38

FIVE THOUSAND SIX HUNDRED EIGHTY TWO RUPEES AND NINETY FOUR PAISE ONLY

Sahiful Islam
Consolidated Stamp Duty Paid
S/O-Golam Kibria Biswas
Vill Po-Patikabari CSD/70/2021/2092 DATED - 24.06.2021
Dist-Murshidabad

742162 Payment Acknowledgement generated through

Online Portal on 26-Jul-21 Time : 17:04:04.
Mobile: 97******60
Email: th********xy@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!

 423917274_2

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

LIC OF INDIA,BERHAMPORE BRANCH
Transaction No : 13108547
KRISHNANATH
Date ( Time ): 26/07/2021 ( 16:56:18 ) ,742101
Email: BO_446@LICINDIA.COM
Receipt No : PR1310854700022122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,570.84 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sahiful Islam

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) (`) (`) (`)
423917274 14 / 25 1,528.00 1 1,528.00 3.27 446
Sahiful Islam 24/04/2003 HLY 04/21 36.30 3.27 10/21
Yes 04/21 0.00 1,570.84 19AAACL0582H1ZJ
04282446 80,000.00

Page Total (`) 1,528.00 1,528.00 3.27

36.30 3.27
0.00 1,570.84
Grand Total (`) 1,528.00 1,528.00 3.27
36.30 3.27
0.00 1,570.84

GST borne by LIC of India ` 34.38

ONE THOUSAND FIVE HUNDRED SEVENTY RUPEES AND EIGHTY FOUR PAISE ONLY

Sahiful Islam
S/O-Golam Kibria Biswas
Vill Po-Patikabari
Dist-Murshidabad

742162 Payment Acknowledgement generated through

Online Portal on 26-Jul-21 Time : 17:04:04.
Mobile: 97******60
Email: th********xy@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!