Collecting Center : A001 Branch Code : 18Y

LIC of India, Begun Branch

Transaction No. : 98128782 LIC OF INDIA, BARNCH OFFICE - 18Y
JEEVAN JYOTI,
Date ( Time ): 12/03/2024 ( 10:08:04 ) DIST CHITTORGARH., 312023
email: BO_18Y@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 8,609.00 from policyholder Shri/Smt.Oma Devi Mali
towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
183589868 174 1,893.00 4 7,572.00 79.07 18Y |0002418Y
Mali O D 20 HLY 03/22 878.50 79.07 03/24
Yes 28/03/2006 1,00,000.00 09/23 0.00 + 0.00 8,608.64 08AAACL0582H2ZL
Page Total (Rs) 1,893.00 7,572.00 79.07
878.50 79.07
0.00 8,608.64
Grand Total (Rs) 1,893.00 7,572.00 79.07
878.50 79.07
0.00 8,608.64

RUPEES EIGHT THOUSAND SIX HUNDRED NINE ONLY

Paid by Cash/Card/SR :8,608.64
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Oma Devi Mali Consolidated Stamp Duty Paid

W/O Sh.Nand Lal Mali LOA/CSD/16/2023/4476 dtd 06/11/2023 valid from
Vill-Sulimagra,Po-Begun 10/11/2023 to 30/06/2024
Ditt-Chittorgarh
312023.
Mobile: 919549304624 For Life Insurance Corporation of India,
Ms.Priyanka Sharma(0088118Y)

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 170.38

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!