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Collecting Center : A002 Branch Code : 100

LIC of India, Jammu II


Transaction No. : 40226279 LIC OF INDIA, BRANCH OFFICE - 100
BRANCH OFFICE UNIT 2
Date ( Time ): 27/07/2022 ( 15:55:40 ) JAMMU J & K, 180001
email: BO_100@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 17,555.00 from policyholder Shri/Smt.Vinit Kumar


towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
144657921 814 17,169.00 1 17,169.00 193.15 100 |02710100
KV 26 YLY 06/22 0.00 193.15 06/23
No 28/06/2017 5,00,000.00 06/22 0.00 + 0.00 17,555.30 01AAACL0582H1Z0
Page Total (Rs) 17,169.00 17,169.00 193.15
0.00 193.15
0.00 17,555.30
Grand Total (Rs) 17,169.00 17,169.00 193.15
0.00 193.15
0.00 17,555.30

RUPEES SEVENTEEN THOUSAND FIVE HUNDRED FIFTY-FIVE ONLY


Paid by Cash/Card/SR :17,555.30
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Vinit Kumar Consolidated Stamp Duty Paid


S/O Sh Darshan Kumar P LOA NO/CSD/390/2022 Dtd - 28.06.2022 valid from
R/O Mcj 1168 Lane 20 Rajpura 05.07.2022 to 31.01.2023
Mangotrian Jammu
180001.
Mobile: For Life Insurance Corporation of India,
Sh Pervinder Kumar(163453)

*SGST also includes cess amount of Rs. 0.00.


GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url:


https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!

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