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ABHISHEKTY

AGI4590@gm

117858689_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Delhi 111
LIC OF INDIA,DELHI 111
Transaction No : 11537122
NEW DELHI BRANCH UNIT
Date ( Time ): 19/07/2023 ( 19:05:44 ) CONAUGHT PLACE NEW
Email: BO_111@LICINDIA.COM
Receipt No : PR1153712200012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 17,100.39 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Abhishek Tyagi


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) (`) (`) (`)
117858689 836 / 21 8,212.00 2 16,424.00 208.17 111
Abhishek Tyagi 21/06/2017 QLY 03/23 260.05 208.17 09/23
Yes 06/23 0.00 17,100.39 07AAACL0582H1ZO
97510111 6,00,000

Page Total (`) 8,212.00 16,424.00 208.17


260.05 208.17
0.00 17,100.39
Grand Total (`) 8,212.00 16,424.00 208.17
260.05 208.17
0.00 17,100.39

SEVENTEEN THOUSAND ONE HUNDRED RUPEES AND THIRTY NINE PAISE ONLY

Abhishek Tyagi
S/O Vinod Kumar
Vinod Kumar , 421, Upeda
Distt- Ghaziabad, U.P.

245201 Payment Acknowledgement generated through


Online Portal on 30-Aug-23 Time : 07:21:21.
Mobile: 96******73
Email: AB********90@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!

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