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    Renewal Premium Acknowledgement: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

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    Sandeep Bandyopadhyay
    1) Smt. Soumili Bandyopadhyay paid Rs. 24,455.30 through an online payment gateway towards renewal of two life insurance policies. 2) The payment was for policy numbers 428206526 and 428206528 from LIC India with premiums due from February 2013 to February 2013. 3) A digitally signed receipt for the total payment of Rs. 24,455.30 was generated and sent to Smt. Bandyopadhyay via email.

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    Renewal Premium Acknowledgement: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

    Uploaded by

    Sandeep Bandyopadhyay
    35 views1 page
    1) Smt. Soumili Bandyopadhyay paid Rs. 24,455.30 through an online payment gateway towards renewal of two life insurance policies. 2) The payment was for policy numbers 428206526 and 428206528 from LIC India with premiums due from February 2013 to February 2013. 3) A digitally signed receipt for the total payment of Rs. 24,455.30 was generated and sent to Smt. Bandyopadhyay via email.

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    1) Smt. Soumili Bandyopadhyay paid Rs. 24,455.30 through an online payment gateway towards renewal of two life insurance policies. 2) The payment was for policy numbers 428206526 and 428206528 from LIC India with premiums due from February 2013 to February 2013. 3) A digitally signed receipt for the total payment of Rs. 24,455.30 was generated and sent to Smt. Bandyopadhyay via email.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views1 page

    Renewal Premium Acknowledgement: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

    Uploaded by

    Sandeep Bandyopadhyay
    1) Smt. Soumili Bandyopadhyay paid Rs. 24,455.30 through an online payment gateway towards renewal of two life insurance policies. 2) The payment was for policy numbers 428206526 and 428206528 from LIC India with premiums due from February 2013 to February 2013. 3) A digitally signed receipt for the total payment of Rs. 24,455.30 was generated and sent to Smt. Bandyopadhyay via email.

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    Collecting Branch : EPS1 E-mail : bo_eps1@licindia.com Phone : +91-022-1251 Transaction No.

    : PR0104505100021314 Date ( Time ): 10/05/2013 ( 13:06:18 )

    Servicing Branch : 435 LIC of India, Naihati Branch Office 48 Arbinda Sarani. Naihati 24 Parganas N W B Naihati 743165

    RENEWAL PREMIUM ACKNOWLEDGEMENT


    Received with thanks Rs. 24455.30 through Payment Gateway over the Internet from: Smt./Ms./Shri : Soumili Bandyopadhyay(L/A) Towards the following Policy No Name Agency Code 428206526
    Bandyopdhyay S

    02274435 428206528
    Bandyopadhyay S

    Plan Term D.O.C. 184 22 02/02/2010 168 16 02/02/2010

    Inst. Prem(Rs) Mode Sum Assured 9,907.00 YLY 1,75,000.00 13,981.00 YLY 2,00,000.00 23,888.00

    No Of Inst Due Fr Due To 1 02/13 02/13 1 02/13 02/13

    Total Premium Late Fee 9,907.00 235.30 13,981.00 332.00 23,888.00 567.30 23,888.00 567.30

    Service Tax Edu Cess Total Amt 0.00 0.00 10,142.30 0.00 0.00 14,313.00 0.00 0.00 24,455.30 0.00 0.00 24,455.30

    Branch Next Due 435 02/14 435 02/14

    02274435 Page Total (Rs)

    Grand Total (Rs)

    23,888.00

    RUPEES TWENTY-FOUR THOUSAND FOUR HUNDRED FIFTY-FIVE AND THIRTY PAISE ONLY Soumili Bandyopadhyay(L/A) D/O Sandeep Bandyopadhyay(Prop) 26,Gobinda Sen Road,Po-Gorifa Dt- 24 Pgs N 743166 Payment Acknowledgement generated through Online Portal on 05-Jan-2014 Time : 19:47:22. Digitally Signed Premium Receipt sent by email

    This receipt is electronically generated.

    Signature Not Verified


    Digitally signed by Rekha Varshney Date: January 5, 2014 7:47:22 PM IST Reason: Premium Receipt Location: LIC OF INDIA

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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