kumarankaya

709712691_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Attur Br Office
LIC OF INDIA,ATTUR BR OFFICE
Transaction No : 20906150
LPNU COMPLEX, NEAR BUS
Date ( Time ): 11/10/2023 ( 12:49:56 ) TAMIL NADU,636102
Email: BO_703@LICINDIA.COM
Receipt No : PR2090615000012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 13,268.53 through Payment Gateway over the Internet from:

Smt./Ms./Shri : S.G.Dhanushree La
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) (`) (`) (`)
709712691 814 / 16 12,497.00 1 12,497.00 177.99 703
S.G.Dhanushree 20/04/2017 YLY 04/23 415.55 177.99 04/24
Yes 04/23 0.00 13,268.53 33AAACL0582H1ZT
02206703 2,00,000

Page Total (`) 12,497.00 12,497.00 177.99

415.55 177.99
0.00 13,268.53
Grand Total (`) 12,497.00 12,497.00 177.99
415.55 177.99
0.00 13,268.53

Late Fee Waived : ` 178.10

THIRTEEN THOUSAND TWO HUNDRED SIXTY EIGHT RUPEES AND FIFTY THREE PAISE ONLY

S.G.Dhanushree La
Consolidated Stamp Duty Paid
M.Selvakumar P S/O A.Marimuthu
12/424 West Kattu Kottai, LOA/CSD/48/2023/2582 DATED 22.05.2023 for Rs 3 Cr Valid
74 Krishnapuram-Po, Gangavalli-Tk

636105 Payment Acknowledgement generated through

Online Portal on 11-Oct-23 Time : 12:53:15.
Mobile: 95******99
Email: ku********ya@yahoo.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!