5 ervices , Set ect EoaadiSs Grane ores Servicing Branch: LIC of ni, Sava Br 964 LIC OF INDIA SAVDA BR 9A Tranasction No 22550188 uc BEINN SAR Date (Time): 18272029 (164904 DT sALGAON «25802 Email: 8O_96A@LICINDIA.COM Recelpt No: PR2855918300022924 Gn Cantecton Onder enor RENEWAL PREMIUM RECEIPT Received with thanks ¥ 49,876.52 through Payment Gateway over the Internet from: ‘Smt/Ms/Shri: Mohan Yadav Sonawane towards the following PolicyNo] Plan/Term ] Inst Premium | No Oftnet | Total Premium ] _CGST Branch Name Doc. Mode DueFrom | LateFee | SGsT/UTGST] Next Due Rovivat | agency Code | SumAssured | OueTo | cDCharges | Tota! Amt | Reg, No. (¥esiNo) @ ®) ® scaza7a76 | 933 / 18 “48,779.00 1 48,779.00 548.76 ‘968 Mohan Yadav | 28/12/2022 YY ras 0.00 548.76 1214 No 10086964, 7,30,000 12723 0.00 49,876.52 braaactoseonsz Page Total () 48,779.00 48,779.00 548.76] 0.00 548.76] 0.00| 49,876.52] Grand Total (®) 148,779.00 48,779.00 548.7 0.00 548.76] 0.00] 49,876.52 FORTY NINE THOUSAND EIGHT HUNDRED SEVENTY SIX RUPEES AND FIFTY TWO PAISE ONLY Mohan Yadav Sonawane puitiios..nb¥ae, Consolidated Stamp Duty Paid ‘Sudarshan Colony Ayodhya Nagar, LOAICS0/16/2023/4476 ata 0611112023 valid from 10/11/2028 to ‘AUPorTa/Di ~Jalgaon. 425001 Payment Acknowledgement generated through Mabie: 8696 Online Portal an’ 18-Dec-23 Time : 16:45:09 Email: mo"***"""18@gmal.com For Payment related queries-Emal: bo_eps@licindia.com This receipt is electronically generated and no signature is required. Har Pal Aapke Saath!Veg envGes 5 Se Hehe Collecting Branch: EPS1 Servicing Branch : LIC of India, Savda Br 96A LIC OF INDIA,SAVDA BR 96A JAI BHOLESHANKAR, Date (Time ): 18/12/2028 ( 16:43:04) DT JALGAON, 425502, Email: 8O_96A@LICINDIA.COM Call Center No: 022 6827 6827 Transaction No: 28559183 Recelpt No: PR2855918300022324 RENEWAL PREMIUM RECEIPT Received with thanks ¥ 50,361.20 through Payment Gateway over the Internet from: ‘Smt/Ms/Shri: Mohan Yadav Sonawane towards the following PolicyNo] Plan/Term ] Inst Premium | No Oftnst | Total Premium ] _CGST Branch Name Doc. Mode Due From | LateFee | SGsT/UTGST| Next Due Rovivat | agency Code | SumAssured | OueTo | cDCharges | Tota! Amt | Rog, No. (¥esiNo) @ ®) ® saazarars | 915/21 "49,253.00 1 49,253.00 554.10 ‘968 Mohan Yadav | 28/12/2022 yy ras 0.00 554.10 1214 No 1o0s696A |} _8,90,000 12723 0.00 50,961.20 braaactoseansz Page Total () 49,253.00 49,253.00 854.19] 0.00 554.19] 0.00| $0,364.20] Grand Total (®) 149,253.00 49,253.00 554.19 0.00 554.10] 0.00] 50,361.20 FIFTY THOUSAND THREE HUNDRED SIXTY ONE RUPEES AND TWENTY PAISE ONLY Mohan Yadav Sonawane puitiios..nb¥ae, Consolidated Stamp Duty Paid ‘Sudarshan Colony Ayodhya Nagar, LOAICS0/16/2023/4476 ata 0611112023 valid from 10/11/2028 to ‘AUPorTa/Di ~Jalgaon. 425001 Payment Acknowledgement generated through Mabie: 8696 Online Portal an’ 18-Dec-23 Time : 16:45:09 Email: mo"***"""18@gmal.com For Payment related queries-Emal: bo_eps@licindia.com This receipt is electronically generated and no signature is required. Har Pal Aapke Saath!