rkkumar073@

239915159_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Mathura Br 26L
LIC OF INDIA,MATHURA BR II 26L
Transaction No : 6046001
SONKH ADDA,JUNCTION ROAD.
Date ( Time ): 18/05/2024 ( 08:27:36 ) MATHURA U P,0
Email: BO_26L@LICINDIA.COM
Receipt No : PR0604600100012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,191.22 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Kumar R
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) (`) (`)
239915159 945 / 71 1,165.00 1 1,165.00 13.11 26L
Rajesh Kumar 28/12/2020 MLY 05/24 0.00 13.11 06/24
No 05/24 0.00 1,191.22 09AAACL0582HFZ6
0312826L 2,50,000

Page Total (`) 1,165.00 1,165.00 13.11

0.00 13.11
0.00 1,191.22
Grand Total (`) 1,165.00 1,165.00 13.11
0.00 13.11
0.00 1,191.22

ONE THOUSAND ONE HUNDRED NINETY ONE RUPEES AND TWENTY TWO PAISE ONLY

Kumar R
S/O Umesh Prasad
H.No.28, Alka Puri, Balaji Puram
Aurangabad, Mathura

281006 Payment Acknowledgement generated through

Online Portal on 18-May-24 Time : 08:29:58.
Mobile: 88******85
Email: rk********73@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!