vidyaghadge85

@yahoo.co.in

912482773_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Vashi Br Office
LIC OF INDIA,VASHI BR OFFICE
Transaction No : 7023623
PERISPOLES BUILDING,2ND
Date ( Time ): 02/06/2022 ( 13:48:11 ) NAVI MUMBAI,400705
Email: BO_92A@LICINDIA.COM
Receipt No : PR0702362300012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 15,005.18 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Vidya Ankush Ghadge

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) (`) (`) (`)
912482773 834 / 24 14,675.00 1 14,675.00 165.09 92A
Advait Shirish 23/05/2018 YLY 05/22 0.00 165.09 05/23
No 05/22 0.00 15,005.18 27AAACL0582H1ZM
0402792A 3,00,000

Page Total (`) 14,675.00 14,675.00 165.09

0.00 165.09
0.00 15,005.18
Grand Total (`) 14,675.00 14,675.00 165.09
0.00 165.09
0.00 15,005.18

FIFTEEN THOUSAND FIVE RUPEES AND EIGHTEEN PAISE ONLY

Vidya Ankush Ghadge

Consolidated Stamp Duty Paid
Shirish G. Ghorpade Pr , 1/1305,Shivshak
Ti ,Chs ,Movietime Theater Kachpada LOA/CSD/280/2022 DTD- 24.02.2022 VALID FROM 14.03.2022 TO
Malad W Mumbai

400064 Payment Acknowledgement generated through

Online Portal on 02-Jun-22 Time : 13:50:16.
Mobile: 98******76
Email: vi********85@yahoo.co.in
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!