ganesan17thd

ec@gmail.com

703345376_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Hosur Branch
LIC OF INDIA,HOSUR BRANCH
Transaction No : 33065733
JEEVAN JYOTHI,,BYE PASS ROAD
Date ( Time ): 19/01/2023 ( 17:31:17 ) TAMILNADU,635109
Email: BO_76N@LICINDIA.COM
Receipt No : PR3306573300012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,239.46 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Ganesan Murugesan

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) (`) (`) (`)
703345376 165 / 16 6,125.00 1 6,125.00 8.73 76N
M Ganesan 28/05/2011 QLY 11/22 97.00 8.73 02/23
Yes 11/22 0.00 6,239.46 33AAACL0582H1ZT
0278676N 5,00,000

Page Total (`) 6,125.00 6,125.00 8.73

97.00 8.73
0.00 6,239.46
Grand Total (`) 6,125.00 6,125.00 8.73
97.00 8.73
0.00 6,239.46

GST borne by LIC of India ` 137.82

SIX THOUSAND TWO HUNDRED THIRTY NINE RUPEES AND FORTY SIX PAISE ONLY

Ganesan Murugesan
D No 1/472 Rahamath Colony
Rayakotta-Po
Krishnagiri-Dt

635116 Payment Acknowledgement generated through

Online Portal on 19-Jan-23 Time : 17:35:50.
Mobile: 96******26
Email: ga********ec@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!