vijay.rajput123.

vs@gmail.com

555371932_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ghatsila Br Office
LIC OF INDIA,GHATSILA BR OFFICE
Transaction No : 11221386
MAIN ROAD,AT&POST GHATSILA.
Date ( Time ): 11/07/2022 ( 18:53:41 ) DIST SINGHBHUM EAST
Email: BO_552@LICINDIA.COM
Receipt No : PR1122138600012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,309.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Singh Vk
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) (`) (`) (`)
555371932 179 / 16 1,309.00 1 1,309.00 0.00 552
Vijay Kumar 28/03/2008 QLY 06/22 0.00 0.00 09/22
No 06/22 0.00 1,309.00 20AAACL0582H1Z0
01481552 1,00,000

Page Total (`) 1,309.00 1,309.00 0.00

0.00 0.00
0.00 1,309.00
Grand Total (`) 1,309.00 1,309.00 0.00
0.00 0.00
0.00 1,309.00

GST borne by LIC of India ` 29.46

ONE THOUSAND THREE HUNDRED NINE RUPEES AND ZERO PAISE ONLY

Singh Vk
C/O Devendra Pratap Singh
At-Inchrashol, Po-Baharagora
Dist-East Singhbhum,Jharkhand

832101 Payment Acknowledgement generated through

Online Portal on 11-Jul-22 Time : 18:56:55.
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Email: vi********vs@gmail.com
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