ompainthouse

228893558_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Meerut Branch III
LIC OF INDIA,MEERUT BRANCH III
Transaction No : 12274834
JEEVAN PRAKASH BUILDING 2ND
Date ( Time ): 05/07/2024 ( 22:35:25 ) ,0
Email: BO_270@LICINDIA.COM
Receipt No : PR1227483400012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 25,930.60 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Vl
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) (`) (`)
228893558 836 / 25 25,360.00 1 25,360.00 285.30 270
Vaishali Latiyan 28/06/2019 YLY 06/24 0.00 285.30 06/25
No 06/24 0.00 25,930.60 09AAACL0582HFZ6
02803270 5,50,000

Page Total (`) 25,360.00 25,360.00 285.30

0.00 285.30
0.00 25,930.60
Grand Total (`) 25,360.00 25,360.00 285.30
0.00 285.30
0.00 25,930.60

TWENTY FIVE THOUSAND NINE HUNDRED THIRTY RUPEES AND SIXTY PAISE ONLY

Vl
Consolidated Stamp Duty Paid
A-298, Ganga Nagar,
Mawana Road, Consolidated Stamp Duty paid vide order no. LOA/ENF-
Meerut.

250001 Payment Acknowledgement generated through

Online Portal on 05-Jul-24 Time : 22:37:53.
Mobile: 98******06
Email: om********se@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!