rrhrclasses28

868549437_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Darbhanga Br
LIC OF INDIA,DARBHANGA BR
Transaction No : 2298117
DEVENDRA LOK, VIP
Date ( Time ): 22/04/2023 ( 13:34:47 ) DIST-DARBHANGA, BIHAR,0
Email: BO_53D@LICINDIA.COM
Receipt No : PR0229811700012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,052.18 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Harsh Ranjan

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) (`) (`) (`)
868549437 921 / 25 5,919.00 1 5,919.00 66.59 53D
Harsh Ranjan 28/04/2022 HLY 04/23 0.00 66.59 10/23
No 04/23 0.00 6,052.18 10AAACL0582H2Z0
0468553D 2,00,000

Page Total (`) 5,919.00 5,919.00 66.59

0.00 66.59
0.00 6,052.18
Grand Total (`) 5,919.00 5,919.00 66.59
0.00 66.59
0.00 6,052.18

SIX THOUSAND FIFTY TWO RUPEES AND EIGHTEEN PAISE ONLY

Harsh Ranjan
Consolidated Stamp Duty Paid
S/O-Binay Kumar Shrivastav
Moh-Bhagwandas J.P. Chowk LOA/CSD/526/4822 DTD- 14.11.2022 valid from 16.12.2022 to
Darbhanga,Bihar

846004 Payment Acknowledgement generated through

Online Portal on 22-Apr-23 Time : 13:37:03.
Mobile: 85******27
Email: rr********28@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!