gskakarh@gm

159883128_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Nangal Br Office
LIC OF INDIA,NANGAL BR OFFICE
Transaction No : 17631354
NEAR SHIVALIK CINEMA,1
Date ( Time ): 13/09/2023 ( 10:46:01 ) NANGAL TOWNSHIP,140124
Email: BO_133@LICINDIA.COM
Receipt No : PR1763135400012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 9,119.61 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Guramrit Kaur

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) (`) (`) (`)
159883128 934 / 23 2,873.00 3 8,619.00 202.53 133
Guramrit Kaur 20/04/2023 MLY 06/23 95.55 202.53 09/23
Yes 08/23 0.00 9,119.61 03AAACL0582H1Z
04502133 6,70,000

Page Total (`) 2,873.00 8,619.00 202.53

95.55 202.53
0.00 9,119.61
Grand Total (`) 2,873.00 8,619.00 202.53
95.55 202.53
0.00 9,119.61

Late Fee Waived : ` 40.95

NINE THOUSAND ONE HUNDRED NINETEEN RUPEES AND SIXTY ONE PAISE ONLY

Guramrit Kaur
Consolidated Stamp Duty Paid
D/O Sh Karanjit Singh
Mohalla -Jatt Majri Vpo Rattewal LOA/CSD/48/2023/2582 DATED 22.05.2023 for Rs 3 Cr Valid
Teh Balachaur Sbs Nagar Pb

144521 Payment Acknowledgement generated through

Online Portal on 13-Sep-23 Time : 10:47:39.
Mobile: 94******65
Email: gs********rh@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!