Servicing Branch : 63F

HUBLI III
LIC OF INDIA,HUBLI CITY BR III
V A KALBURGI MANSION
Collecting Branch : PCMC 2ND FLOOR LAMINGTON ROAD.
Call Center (24X7) : 022 6827 6827 HUBLI KARNATAKA
Transaction no. : 7226251 PIN:580020 Phone:
Date : 19/03/2024 Email: bo_63F@licindia.com

RENEWAL PREMIUM ACKNOWLEDGEMENT

through EBPP (Bill-

Received with thanks Rs. 3369.14 pay)
from Smt/Shri/Ms V V DESHPANDE
towards the following
Policy Number 365853225 Premium Due From 3/2024
Instalment Premium 3295.00 Premium Due Upto 3/2024
Premium Mode Yearly No. of Instalments 1
Plan, Term & PPT 815/33/33 Premium 3295.00
Date of Commence. 15/03/2014 Late Fee 0.00
Sum Assured 100000 CGST/SGST/UTGST 74.14
Next Premium Due on 15/03/2025
Total 3369.14

VISHAL V DESHPANDE
H.NO.101/81, SIDDALINGESHWAR COLONY
VIKAS NAGAR EXTENSION,
HUBLI
PIN Code: 580021

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