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Servicing Branch : 65A

MARKAPUR
LIC OF INDIA,MARKAPUR BRANCH
OFFICE
NEHRU NAGAR,P B NO-23.
Collecting Branch : PCMC MARKAPOUR
Call Center (24X7) : 022 6827 6827 DT PRAKASAM A P
Transaction no. : 4230460 PIN:523316 Phone:
Date : 27/10/2023 Email: bo_65A@licindia.com

RENEWAL PREMIUM ACKNOWLEDGEMENT

through EBPP (Bill-


Received with thanks Rs. 4606.36 pay)
from Smt/Shri/Ms BASHA
towards the following
Policy Number 846262232 Premium Due From 9/2023
Instalment Premium 4505.00 Premium Due Upto 9/2023
Premium Mode Half-Yearly No. of Instalments 1
Plan, Term & PPT 841/16/10 Premium 4505.00
Date of Commence. 28/09/2016 Late Fee 0.00
Sum Assured 100000 CGST/SGST/UTGST 101.36
Next Premium Due on 28/03/2024
Total 4606.36

SHAIK JAMEER BASHA


S/O LATE, MAHABOOB BASHA,C/O M.PATC
DNO:7-96,MASEED THOTA
PODILI PO&MDL, PRAKASAM DT
PIN Code: 523240

This receipt is electronically generated

Kindly register your mobile no. for receiving your policy related information.
For SMS helpline, type LICHELP <policy-no> and send to 92224 92224

LIC WhatsApp Services – 8976862090

Har Pal Aapke Saath

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