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aboonaimgola

Collecting Branch : EPS1 Servicing Branch : LIC of India, Mumbai B O 902

LIC OF INDIA,BOMBAY B O 902
Transaction No : 3308108
WESTERN INDIA HOUSE,5TH FLR
Date ( Time ): 01/05/2023 ( 10:13:47 ) FORT MUMBAI,400001
Email: BO_902@LICINDIA.COM
Receipt No : PR0330810800012324
Call Center No: 022 6827 6827

DEPOSIT RECEIPT FOR ADVANCE PREMIUM

Received with thanks ` 7,433.58 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Aboonaim Abdul Kader Golandaz

towards Advance Premium payment for the following policy/ies:

Policy No Plan Inst. Premium No Of Inst Total Premium Branch

Name Term Mode Due From CGST Reg. No.
Agency Code D.O.C. Sum Assured Due To SGST/UTGST Total Amt
(`) (`) (`)
912794807 821 7,270.00 1 7,270.00 902
Saniya 25 YLY 08/23 81.79 27AAACL0582H1ZM

02036902 20/08/2019 1,20,000 08/23 81.79 7,433.58

Page Total (`) 7,270.00 7,270.00

81.79
Aboonaim Abdul Kader Golandaz 81.79 7,433.58
Grand Total (`) 7,270.00 7,270.00
81.79
81.79 7,433.58

SEVEN THOUSAND FOUR HUNDRED THIRTY THREE RUPEES AND FIFTY EIGHT PAISE ONLY

The above mentioned Deposit amount for advance premium will get adjusted as Renewal Premium on next due date of
policy/ies.
Aboonaim Abdul Kader Golandaz
48,Mogal Bldg,1st Floor.
Room No-7,1 Lane Balu Changu Marg.
Umarkhadi,Mumbai.

400009 Payment Acknowledgement generated through

Online Portal on 01-May-23 Time : 10:14:53.
Mobile: 76******93
Email: ab********az@yahoo.in
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!