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    PaymentReceipt 28671219

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    ozu1ssas
    Sangilirajan Sangilikalai paid Rs. 11,998.02 through an online payment gateway toward the advance premium for insurance policy number 747987594. The payment will be adjusted as the renewal premium on the next due date of January 24th for the policy, which has a sum assured of Rs. 1,50,000 and was issued on January 28th, 2016. Sangilirajan Sangilikalai's contact information is provided should any payment related queries arise.

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    PaymentReceipt 28671219

    Uploaded by

    ozu1ssas
    9 views1 page
    Sangilirajan Sangilikalai paid Rs. 11,998.02 through an online payment gateway toward the advance premium for insurance policy number 747987594. The payment will be adjusted as the renewal premium on the next due date of January 24th for the policy, which has a sum assured of Rs. 1,50,000 and was issued on January 28th, 2016. Sangilirajan Sangilikalai's contact information is provided should any payment related queries arise.

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    PaymentReceipt_28671219_

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    Sangilirajan Sangilikalai paid Rs. 11,998.02 through an online payment gateway toward the advance premium for insurance policy number 747987594. The payment will be adjusted as the renewal premium on the next due date of January 24th for the policy, which has a sum assured of Rs. 1,50,000 and was issued on January 28th, 2016. Sangilirajan Sangilikalai's contact information is provided should any payment related queries arise.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    9 views1 page

    PaymentReceipt 28671219

    Uploaded by

    ozu1ssas
    Sangilirajan Sangilikalai paid Rs. 11,998.02 through an online payment gateway toward the advance premium for insurance policy number 747987594. The payment will be adjusted as the renewal premium on the next due date of January 24th for the policy, which has a sum assured of Rs. 1,50,000 and was issued on January 28th, 2016. Sangilirajan Sangilikalai's contact information is provided should any payment related queries arise.

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    of 1

    1

    sangiliraj65@g

    747987594_1

    Collecting Branch : EPS1 Servicing Branch : LIC of India, Rajapalayam


    LIC OF INDIA,RAJAPALAYAM BR
    Transaction No : 28671219
    656,,TENKASI ROAD.
    Date ( Time ): 19/12/2023 ( 14:21:36 ) RAJAPALAYAM,626117
    Email: BO_750@LICINDIA.COM
    Receipt No : PR2867121900012324
    Call Center No: 022 6827 6827

    DEPOSIT RECEIPT FOR ADVANCE PREMIUM

    Received with thanks ` 11,998.02 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Sangilirajan Sangilikalai

    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
    (`) (`) (`)
    747987594 820 11,734.00 1 11,734.00 750
    S.Sangilirajan 20 YLY 01/24 132.01 33AAACL0582H1ZT

    01319750 28/01/2016 1,50,000 01/24 132.01 11,998.02

    Page Total (`) 11,734.00 11,734.00


    132.01
    Sangilirajan Sangilikalai 132.01 11,998.02
    Grand Total (`) 11,734.00 11,734.00
    132.01
    132.01 11,998.02

    ELEVEN THOUSAND NINE HUNDRED NINETY EIGHT RUPEES AND TWO PAISE ONLY

    The above mentioned Deposit amount for advance premium will get adjusted as Renewal Premium on next due date of
    policy/ies.
    Sangilirajan Sangilikalai
    S/O V.Sangilikalai
    10-36/10-76,New Street
    Chatrapatti, Rajapalayam Tk

    626102 Payment Acknowledgement generated through


    Online Portal on 19-Dec-23 Time : 14:23:28.
    Mobile: 99******46
    Email: sa********65@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!

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