kamalkarnatak

243334993_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Haldwani Branch
LIC OF INDIA, C.B.O.-I ( 212),
Transaction No : 2089945
JEEVAN PRAKASH, NAINITAL
Date ( Time ): 16/04/2024 ( 19:04:15 ) DISTT- NAINITAL (
Email: BO_212@LICINDIA.COM
Receipt No : PR0208994500012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,598.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Kamal Karnatak

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) (`) (`)
243334993 149 / 71 6,598.00 1 6,598.00 0.00 212
Kamal Karnatak 06/11/2013 HLY 05/24 0.00 0.00 11/24
No 05/24 0.00 6,598.00 05AAACL0582H3ZQ
05807212 2,60,000

Page Total (`) 6,598.00 6,598.00 0.00

0.00 0.00
0.00 6,598.00
Grand Total (`) 6,598.00 6,598.00 0.00
0.00 0.00
0.00 6,598.00

GST borne by LIC of India ` 148.46

SIX THOUSAND FIVE HUNDRED NINETY EIGHT RUPEES AND ZERO PAISE ONLY

Kamal Karnatak
Consolidated Stamp Duty Paid
S/O Sri B.D.Karnatak
Amrawati Colony First LOA/CSD/16/2023/4476 dtd 06/11/2023 valid from 10/11/2023 to
Malli Bamori Haldwani Nainital

263141 Payment Acknowledgement generated through

Online Portal on 16-Apr-24 Time : 19:05:47.
Mobile: 83******81
Email: ka********k3@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!