nfamily@rediff

239857447_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ghaziabad
LIC OF INDIA,CBO-II
Transaction No : 32990173
BRANCH CODE 25H,408/2,MODEL
Date ( Time ): 18/01/2022 ( 16:31:13 ) GHAZIABAD (UP),201001
Email: BO_25H@LICINDIA.COM
Receipt No : PR3299017300042122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,750.52 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Navneesh Agarwal

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) (`) (`) (`)
239857447 914 / 16 1,712.00 1 1,712.00 19.26 25H
Navneesh 26/10/2020 QLY 01/22 0.00 19.26 04/22
No 01/22 0.00 1,750.52 09AAACL0582HFZ6
0183925H 1,00,000

Page Total (`) 1,712.00 1,712.00 19.26

0.00 19.26
0.00 1,750.52
Grand Total (`) 1,712.00 1,712.00 19.26
0.00 19.26
0.00 1,750.52

ONE THOUSAND SEVEN HUNDRED FIFTY RUPEES AND FIFTY TWO PAISE ONLY

Navneesh Agarwal
Dd-137
Avantika Gzb Up

201002 Payment Acknowledgement generated through

Online Portal on 18-Jan-22 Time : 16:33:27.
Mobile: 98******48
Email: nf********ly@rediffmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 nfamily@rediff

254925441_2
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ghaziabad
LIC OF INDIA,CBO-II
Transaction No : 32990173
BRANCH CODE 25H,408/2,MODEL
Date ( Time ): 18/01/2022 ( 16:31:13 ) GHAZIABAD (UP),201001
Email: BO_25H@LICINDIA.COM
Receipt No : PR3299017300042122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 8,003.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Navneesh Agarwal

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) (`) (`) (`)
254925441 149 / 75 8,003.00 1 8,003.00 0.00 25H
Navneesh 28/01/2008 YLY 01/22 0.00 0.00 01/23
No 01/22 0.00 8,003.00 09AAACL0582HFZ6
0183925H 2,00,000

Page Total (`) 8,003.00 8,003.00 0.00

0.00 0.00
0.00 8,003.00
Grand Total (`) 8,003.00 8,003.00 0.00
0.00 0.00
0.00 8,003.00

GST borne by LIC of India ` 180.06

EIGHT THOUSAND THREE RUPEES AND ZERO PAISE ONLY

Navneesh Agarwal
Consolidated Stamp Duty Paid
Dd-137
Avantika Gzb Up CSD/70/2021/2092 DATED - 24.06.2021

201002 Payment Acknowledgement generated through

Online Portal on 18-Jan-22 Time : 16:33:27.
Mobile: 98******48
Email: nf********ly@rediffmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 nfamily@rediff

253315623_3
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ghaziabad
LIC OF INDIA,CBO-II
Transaction No : 32990173
BRANCH CODE 25H,408/2,MODEL
Date ( Time ): 18/01/2022 ( 16:31:13 ) GHAZIABAD (UP),201001
Email: BO_25H@LICINDIA.COM
Receipt No : PR3299017300042122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 5,012.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Navneesh Agarwal

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) (`) (`) (`)
253315623 14 / 21 5,012.00 1 5,012.00 0.00 25H
Navneesh 15/02/2004 YLY 02/22 0.00 0.00 02/23
No 02/22 0.00 5,012.00 09AAACL0582HFZ6
0183925H 1,10,000

Page Total (`) 5,012.00 5,012.00 0.00

0.00 0.00
0.00 5,012.00
Grand Total (`) 5,012.00 5,012.00 0.00
0.00 0.00
0.00 5,012.00

GST borne by LIC of India ` 112.78

FIVE THOUSAND TWELVE RUPEES AND ZERO PAISE ONLY

Navneesh Agarwal
Consolidated Stamp Duty Paid
Dd-137
Avantika Gzb Up CSD/70/2021/2092 DATED - 24.06.2021

201002 Payment Acknowledgement generated through

Online Portal on 18-Jan-22 Time : 16:33:27.
Mobile: 98******48
Email: nf********ly@rediffmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 nfamily@rediff

206808013_4
Collecting Branch : EPS1 Servicing Branch : LIC of India, Ghaziabad
LIC OF INDIA,CBO-II
Transaction No : 32990173
BRANCH CODE 25H,408/2,MODEL
Date ( Time ): 18/01/2022 ( 16:31:13 ) GHAZIABAD (UP),201001
Email: BO_25H@LICINDIA.COM
Receipt No : PR3299017300042122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,336.42 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Navneesh Agarwal

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) (`) (`) (`)
206808013 814 / 12 2,285.00 1 2,285.00 25.71 25H
Navneesh 26/10/2017 QLY 01/22 0.00 25.71 04/22
No 01/22 0.00 2,336.42 09AAACL0582HFZ6
0183925H 1,00,000

Page Total (`) 2,285.00 2,285.00 25.71

0.00 25.71
0.00 2,336.42
Grand Total (`) 2,285.00 2,285.00 25.71
0.00 25.71
0.00 2,336.42

TWO THOUSAND THREE HUNDRED THIRTY SIX RUPEES AND FORTY TWO PAISE ONLY

Navneesh Agarwal
Dd-137
Avantika Gzb Up

201002 Payment Acknowledgement generated through

Online Portal on 18-Jan-22 Time : 16:33:27.
Mobile: 98******48
Email: nf********ly@rediffmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!