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kdheepak@gm

706145730_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Trichy CABr
LIC OF INDIA,TRICHY C A BR OFFICE
Transaction No : 28802454
K R T BUILDING NO.33,
Date ( Time ): 20/12/2023 ( 14:18:12 ) TAMILNADU,620001
Email: BO_809@LICINDIA.COM
Receipt No : PR2880245400012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 16,324.43 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Deepak Pillai Karunanithy


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) (`) (`) (`)
706145730 149 / 69 16,025.00 1 16,025.00 22.84 809
K.Deepak 25/04/2013 QLY 10/23 253.75 22.84 01/24
Yes 10/23 0.00 16,324.43 33AAACL0582H1ZT
0323170C 15,00,000

Page Total (`) 16,025.00 16,025.00 22.84


253.75 22.84
0.00 16,324.43
Grand Total (`) 16,025.00 16,025.00 22.84
253.75 22.84
0.00 16,324.43

GST borne by LIC of India ` 360.56


SIXTEEN THOUSAND THREE HUNDRED TWENTY FOUR RUPEES AND FORTY THREE PAISE ONLY

Deepak Pillai Karunanithy


S/O E.S.Karunanithy,
624,Anbil Dharmalingam Street,
Kk Nagar Po ,Tiruchy

620021 Payment Acknowledgement generated through


Online Portal on 04-Jan-24 Time : 01:17:18.
Mobile: 90******91
Email: kd********ak@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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