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Mkyadav11127

194628842_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Transport Nagar
LIC OF INDIA,TRANSPORT NAGAR
Transaction No : 37897606
GODOWN NO 25 TRUCK STAND
Date ( Time ): 23/02/2024 ( 09:35:56 ) JAIPUR,302002
Email: BO_19R@LICINDIA.COM
Receipt No : PR3789760600012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,307.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Shri. Mukesh Kumar Yadav


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) (`) (`)
194628842 103 / 21 1,307.00 1 1,307.00 0.00 19R
Shri. Mukesh 28/05/2004 QLY 02/24 0.00 0.00 05/24
No 02/24 0.00 1,307.00 08AAACL0582H2ZL
0034219R 1,00,000

Page Total (`) 1,307.00 1,307.00 0.00


0.00 0.00
0.00 1,307.00
Grand Total (`) 1,307.00 1,307.00 0.00
0.00 0.00
0.00 1,307.00

GST borne by LIC of India ` 29.40


ONE THOUSAND THREE HUNDRED SEVEN RUPEES AND ZERO PAISE ONLY

Shri. Mukesh Kumar Yadav


Plot No.194/134, Sector No.19,
Pratap Nagar Hsg., Board, Sanganer,
Jaipur,

302033 Payment Acknowledgement generated through


Online Portal on 23-Feb-24 Time : 09:37:55.
Mobile: 97******43
Email: Mk********78@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!

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