sumantrachat

426412312_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Salt Lake Branch
LIC OF INDIA,SALT LAKE BRANCH
Transaction No : 9052797
CF-335 SALT LAKE CITY.,SECTOR 1
Date ( Time ): 12/06/2024 ( 17:36:12 ) CALCUTTA,700064
Email: BO_41B@LICINDIA.COM
Receipt No : PR0905279700012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT (REVIVAL)

Received with thanks ` 25,989.42 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sumantra Chattopadhyay

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) (`) (`) (`)
426412312 178 / 62 24,610.00 1 24,610.00 105.21 41B
Sumantra 07/12/2007 YLY 12/23 1,169.00 105.21 12/24
Yes 12/23 0.00 25,989.42 19AAACL0582H1ZJ
0094841B 5,00,000

Page Total (`) 24,610.00 24,610.00 105.21

1,169.00 105.21
0.00 25,989.42
Grand Total (`) 24,610.00 24,610.00 105.21
1,169.00 105.21
0.00 25,989.42

GST borne by LIC of India ` 553.74

TWENTY FIVE THOUSAND NINE HUNDRED EIGHTY NINE RUPEES AND FORTY TWO PAISE ONLY

Sumantra Chattopadhyay
Consolidated Stamp Duty Paid
Maitri, 380,Desbandhu Park,
Sonarpur, Consolidated Stamp Duty paid vide order no. LOA/ENF-
Kolkata

700150 Payment Acknowledgement generated through

Online Portal on 12-Jun-24 Time : 17:38:00.
Mobile: 98******19
Email: su********at@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!