Collecting Center : A002 Branch Code : 68D

LIC of India, HUZURABAD B.O.

Transaction No. : 63169968 LIC OF INDIA,
HUZURABAD BRANCH OFFICE
Date ( Time ): 02/11/2023 ( 12:29:50 ) HUZURABAD, 505478
email: BO_68D@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 6,035.00 from policyholder Shri/Smt.Nanduri Sahitya

towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
723222252 936 5,775.00 1 5,775.00 129.94 68D |0128968D
Sahitya N 25 QLY 11/23 0.00 129.94 02/24
No 14/08/2023 5,00,000.00 11/23 0.00 + 0.00 6,034.88 36AAACL0582H1ZN
Page Total (Rs) 5,775.00 5,775.00 129.94
0.00 129.94
0.00 6,034.88
Grand Total (Rs) 5,775.00 5,775.00 129.94
0.00 129.94
0.00 6,034.88

RUPEES SIX THOUSAND THIRTY-FIVE ONLY

Paid by Cash/Card/SR :6,034.88
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Nanduri Sahitya Consolidated Stamp Duty Paid

D/O N Rambabu A/S,Ramacharyulu LOA/CSD/48/2023/2582 DATED 22.05.2023 for Rs 3 Cr
Hno 5-29,Vill Po Chelpur Valid from 15.06.2023 to 31.01.2024
Mdl Huzurabad,Dist Karimnagar Ts
505122.
Mobile: For Life Insurance Corporation of India,
Lunavath Deva Singh(675089)

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!