Collecting Center : A002 Branch Code : 95R

LIC of India, Solapur Br III 95R

Transaction No. : 22716698 LIC OF INDIA,SOLAPUR BR III 95R
PADMASHALI BHAVAN,CTS NO-9581
Date ( Time ): 24/05/2023 ( 13:00:32 ) SOLAPUR, 413001
email: BO_95R@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 38,956.00 from policyholder Shri/Smt.Ravindra Nandkishor Upadhye
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.
990907062 815 19,049.00 1 19,049.00 214.30 95R |0034695R
Upadhye Rn 15 YLY 05/23 0.00 214.30 05/24
No 21/05/2015 2,00,000.00 05/23 0.00 + 0.00 19,477.60 27AAACL0582H1ZM
990907063 815 19,049.00 1 19,049.00 214.30 95R |0034695R
Upadhye Rn 15 YLY 05/23 0.00 214.30 05/24
No 21/05/2015 2,00,000.00 05/23 0.00 + 0.00 19,477.60 27AAACL0582H1ZM
Page Total (Rs) 38,098.00 38,098.00 428.60
0.00 428.60
0.00 38,955.20
Grand Total (Rs) 38,098.00 38,098.00 428.60
0.00 428.60
0.00 38,955.20

RUPEES THIRTY-EIGHT THOUSAND NINE HUNDRED FIFTY-SIX ONLY

Paid by Cash/Card/SR :0.00
Paid by Cheque :38,956.00
Cheque No/ChequeDate : 369275/23/05/2023

Ravindra Nandkishor Upadhye Consolidated Stamp Duty Paid

45/9,Budhawar Peth LOA/CSD/526/4822 DTD- 14.11.2022 valid from
Prabhakar Housing Society 16.12.2022 to 30.09.2023
Solapur
413002.
Mobile: For Life Insurance Corporation of India,
Anand Nagnath Umbare(498956)

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 0.00
This receipt is subject to realisation of cheque amount.

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!