1

nilusingh10686

547347285_1

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

LIC OF INDIA,SINDRI BRANCH
Transaction No : 32305696
ROHRA BANDH.,POST-SINDRI,DIST-
Date ( Time ): 12/01/2024 ( 18:41:05 ) ,828122
Email: BO_567@LICINDIA.COM
Receipt No : PR3230569600012324
Call Center No: 022 6827 6827

DEPOSIT RECEIPT FOR ADVANCE PREMIUM

Received with thanks ` 12,010.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Nilu Kumari Singh

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
(`) (`) (`)
547347285 165 12,010.00 1 12,010.00 567
Nilu Kumari 15 YLY 03/24 0.00 20AAACL0582H1Z0

03748567 18/03/2011 2,50,000 03/24 0.00 12,010.00

Page Total (`) 12,010.00 12,010.00

0.00
Nilu Kumari Singh 0.00 12,010.00
Grand Total (`) 12,010.00 12,010.00
0.00
0.00 12,010.00

GST borne by LIC of India ` 270.22

TWELVE THOUSAND TEN RUPEES AND ZERO PAISE ONLY

The above mentioned Deposit amount for advance premium will get adjusted as Renewal Premium on next due date of
policy/ies.
Nilu Kumari Singh
Qr No Rmk4-310 Rangamatia
Po-Sindri Dt-Dhanbad
Jharkhand

828122 Payment Acknowledgement generated through

Online Portal on 12-Jan-24 Time : 19:50:19.
Mobile: 99******08
Email: ni********86@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!