sudhakarghos

437088389_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Howrah (CBO-I)
LIC OF INDIA,HOWRAH (CBO-I)
Transaction No : 34961473
HOWRAH CITY BRANCH-I,27/3,G T
Date ( Time ): 01/02/2024 ( 11:20:53 ) HOWRAH,711101
Email: BO_441@LICINDIA.COM
Receipt No : PR3496147300012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT (REVIVAL)

Received with thanks ` 520.90 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sudhakar Ghoshal

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) (`) (`) (`)
437088389 174 / 20 515.00 1 515.00 0.45 441
Sudhakar 28/03/2006 QLY 12/23 5.00 0.45 03/24
Yes 12/23 0.00 520.90 19AAACL0582H1ZJ
11092441 50,000.00

Page Total (`) 515.00 515.00 0.45

5.00 0.45
0.00 520.90
Grand Total (`) 515.00 515.00 0.45
5.00 0.45
0.00 520.90

GST borne by LIC of India ` 11.58

FIVE HUNDRED TWENTY RUPEES AND NINETY PAISE ONLY

Sudhakar Ghoshal
Narua Panchanantala
Po-Chandannagar
Dt-Hooghly

712136 Payment Acknowledgement generated through

Online Portal on 01-Feb-24 Time : 11:22:27.
Mobile: 98******05
Email: su********al@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!