pdokania8@g

998348964_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Calcutta (CBO-1)
LIC OF INDIA,CALCUTTA (CBO-1)
Transaction No : 26334100
ILACO HOUSE,1ST FLOOR,1 &
Date ( Time ): 01/12/2023 ( 02:37:18 ) CALCUTTA,700001
Email: BO_415@LICINDIA.COM
Receipt No : PR2633410000012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 11,641.16 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pratik Dokania

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) (`) (`) (`)
998348964 836 / 25 11,385.00 1 11,385.00 128.08 415
Pratik Dokania 28/05/2016 HLY 11/23 0.00 128.08 05/24
No 11/23 0.00 11,641.16 19AAACL0582H1ZJ
20847412 5,00,000

Page Total (`) 11,385.00 11,385.00 128.08

0.00 128.08
0.00 11,641.16
Grand Total (`) 11,385.00 11,385.00 128.08
0.00 128.08
0.00 11,641.16

ELEVEN THOUSAND SIX HUNDRED FORTY ONE RUPEES AND SIXTEEN PAISE ONLY

Pratik Dokania
Natural View ,Flat No-9 J,9th Floor
82 Ultadanga Main Road
Kolkata

700067 Payment Acknowledgement generated through

Online Portal on 27-Dec-23 Time : 14:19:23.
Mobile: 95******76
Email: pd********a8@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!

 pdokania8@g

998348964_2
Collecting Branch : EPS1 Servicing Branch : LIC of India, Calcutta (CBO-1)
LIC OF INDIA,CALCUTTA (CBO-1)
Transaction No : 5989237
ILACO HOUSE,1ST FLOOR,1 &
Date ( Time ): 29/05/2023 ( 08:56:16 ) CALCUTTA,700001
Email: BO_415@LICINDIA.COM
Receipt No : PR0598923700012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 11,641.16 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pratik Dokania

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) (`) (`) (`)
998348964 836 / 25 11,385.00 1 11,385.00 128.08 415
Pratik Dokania 28/05/2016 HLY 05/23 0.00 128.08 11/23
No 05/23 0.00 11,641.16 19AAACL0582H1ZJ
20847412 5,00,000

Page Total (`) 11,385.00 11,385.00 128.08

0.00 128.08
0.00 11,641.16
Grand Total (`) 11,385.00 11,385.00 128.08
0.00 128.08
0.00 11,641.16

ELEVEN THOUSAND SIX HUNDRED FORTY ONE RUPEES AND SIXTEEN PAISE ONLY

Pratik Dokania
Natural View ,Flat No-9 J,9th Floor
82 Ultadanga Main Road
Kolkata

700067 Payment Acknowledgement generated through

Online Portal on 27-Dec-23 Time : 14:19:23.
Mobile: 95******76
Email: pd********a8@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!