vishnudasvaru

698806959_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Career Agents'
LIC OF INDIA,CAREER AGENTS'
Transaction No : 684805
FIRST FLOOR PODDUTURI
Date ( Time ): 06/04/2021 ( 20:43:22 ) WARANGAL,506001
Email: BO_68L@LICINDIA.COM
Receipt No : PR0068480500012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 11,220.92 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Vishnudas Varun Kumar

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) (`) (`) (`)
698806959 815 / 21 10,974.00 1 10,974.00 123.46 68L
Vishnudas 11/04/2016 YLY 04/21 0.00 123.46 04/22
No 04/21 0.00 11,220.92 36AAACL0582H1ZN
0018168L 2,00,000

Page Total (`) 10,974.00 10,974.00 123.46

0.00 123.46
0.00 11,220.92
Grand Total (`) 10,974.00 10,974.00 123.46
0.00 123.46
0.00 11,220.92

ELEVEN THOUSAND TWO HUNDRED TWENTY RUPEES AND NINETY TWO PAISE ONLY

Vishnudas Varun Kumar

Hno 11-26-123 Kothawada,
Dist Warangal.
State Telangana.

506002 Payment Acknowledgement generated through

Online Portal on 25-Feb-22 Time : 12:58:59.
Mobile: 99******25
Email: vi********un@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!