raokvnb@gmai

601464855_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Tarnaka (Sec)City
LIC OF INDIA,HABSIGUDA
Transaction No : 41154326
SAI SRI NILAYAM, 3/1 STREET NO.
Date ( Time ): 25/03/2023 ( 08:54:05 ) SECUNDERABAD,500007
Email: BO_64T@LICINDIA.COM
Receipt No : PR4115432600012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,308.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : K V Nagabrahmeswara Rao

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) (`) (`) (`)
601464855 48 / 25 2,308.00 1 2,308.00 0.00 64T
KV 26/02/2004 YLY 02/23 0.00 0.00
No 02/23 0.00 2,308.00 36AAACL0582H1ZN
0164064T 51,000.00

Page Total (`) 2,308.00 2,308.00 0.00

0.00 0.00
0.00 2,308.00
Grand Total (`) 2,308.00 2,308.00 0.00
0.00 0.00
0.00 2,308.00

GST borne by LIC of India ` 51.94

TWO THOUSAND THREE HUNDRED EIGHT RUPEES AND ZERO PAISE ONLY

K V Nagabrahmeswara Rao
Plot No 26 Hanuman Nagar
Near Grace Missions School,
Boduppal Ranga Reddy Dist

500092 Payment Acknowledgement generated through

Online Portal on 25-Mar-23 Time : 08:55:33.
Mobile: 92******13
Email: ra********nb@gmai.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!