ravi051190@g

829978529_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Hajipur Branch
LIC OF INDIA,HAJIPUR BRANCH
Transaction No : 6194164
P B NO 1,SONI ALANKAR COMPLEX.
Date ( Time ): 19/05/2024 ( 17:49:42 ) GUDRI BAZAR,, VAISHALI DT.,0
Email: BO_545@LICINDIA.COM
Receipt No : PR0619416400012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 97,237.70 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Ravi Kumar

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) (`) (`)
829978529 915 / 25 95,098.00 1 95,098.00 1,069.85 545
Ravi Kumar 23/05/2022 YLY 05/24 0.00 1,069.85 05/25
No 05/24 0.00 97,237.70 10AAACL0582H2Z0
03486545 21,00,000

Page Total (`) 95,098.00 95,098.00 1,069.85

0.00 1,069.85
0.00 97,237.70
Grand Total (`) 95,098.00 95,098.00 1,069.85
0.00 1,069.85
0.00 97,237.70

NINETY SEVEN THOUSAND TWO HUNDRED THIRTY SEVEN RUPEES AND SEVENTY PAISE ONLY

Ravi Kumar
Consolidated Stamp Duty Paid
S/O Dinesh Prasad
Vill Agarpur Chakbandi Road LOA/CSD/16/2023/4476 dtd 06/11/2023 valid from 10/11/2023 to
Ward No.04 Po Lalganj Dist Vaishal

844121 Payment Acknowledgement generated through

Online Portal on 19-May-24 Time : 17:51:37.
Mobile: 99******05
Email: ra********90@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!