abhisheklandg

e83@gmail.co

835370459_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ahmedabad City
LIC OF INDIA,AHMEDABAD CITY BR
Transaction No : 32202157
AHMEDABAD CITY BR NO
Date ( Time ): 12/01/2022 ( 08:11:37 ) AHMEDABAD,380001
Email: BO_841@LICINDIA.COM
Receipt No : PR3220215700012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,559.61 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Abhishek Krishnarao Landge

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) (`) (`) (`)
835370459 165 / 15 1,531.00 1 1,531.00 2.18 841
Vinayak 28/08/2009 QLY 11/21 24.25 2.18 02/22
Yes 11/21 0.00 1,559.61 24AAACL0582H2ZR
01762841 1,25,000

Page Total (`) 1,531.00 1,531.00 2.18

24.25 2.18
0.00 1,559.61
Grand Total (`) 1,531.00 1,531.00 2.18
24.25 2.18
0.00 1,559.61

GST borne by LIC of India ` 34.44

ONE THOUSAND FIVE HUNDRED FIFTY NINE RUPEES AND SIXTY ONE PAISE ONLY

Abhishek Krishnarao Landge

26, Narmadnagar Society, Part-Ii,
B/H.Nav Nirman School,
Ranip, Ahmedabad.

382480 Payment Acknowledgement generated through

Online Portal on 19-Jan-23 Time : 18:52:20.
Mobile: 88******66
Email: ab********83@gmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!