prernakumari0

506@gmail.co

Collecting Branch : EPS1 Servicing Branch : LIC of India, Chennai City Br

LIC OF INDIA,CHENNAI CITY BR
Transaction No : 22651362
Jeevan Pallava,,142,143,145-
Date ( Time ): 28/10/2023 ( 15:18:06 ) Chennai,600081
Email: BO_70U@LICINDIA.COM
Receipt No : PR2265136200012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 17,411.14 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Prerana Kumari

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) (`) (`) (`)
308988563 836 / 16 17,028.00 1 17,028.00 191.57 70U
Prerana Kumari 01/10/2018 YLY 10/23 0.00 191.57 10/24
No 10/23 0.00 17,411.14 33AAACL0582H1ZT
0268370U 2,00,000

Page Total (`) 17,028.00 17,028.00 191.57

0.00 191.57
0.00 17,411.14
Grand Total (`) 17,028.00 17,028.00 191.57
0.00 191.57
0.00 17,411.14

SEVENTEEN THOUSAND FOUR HUNDRED ELEVEN RUPEES AND FOURTEEN PAISE ONLY

Prerana Kumari
Consolidated Stamp Duty Paid
No 36, Swathi
Dae Township Anupuram, LOA/CSD/48/2023/2582 DATED 22.05.2023 for Rs 3 Cr Valid
Tirukalukundram,Kanchipuram Tn

603127 Payment Acknowledgement generated through

Online Portal on 28-Oct-23 Time : 15:19:26.
Mobile: 94******39
Email: pr********06@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!