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Renewal Premium Receipt: Har Pal Aapke Sath!!

The document is a receipt for renewal premium payment of Rs. 34,844 towards an insurance policy. It provides details of the policy number, plan name, sum assured, due premium amount, taxes paid and other transaction details.

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krishna krish
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0% found this document useful (0 votes)
27 views1 page

Renewal Premium Receipt: Har Pal Aapke Sath!!

The document is a receipt for renewal premium payment of Rs. 34,844 towards an insurance policy. It provides details of the policy number, plan name, sum assured, due premium amount, taxes paid and other transaction details.

Uploaded by

krishna krish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Collecting Center : A002 Branch Code : 68E

LIC of India,
Transaction No. : 91496048 Bellampally Branch Office
Iind Floor Radha Complex.
Date ( Time ): 23/01/2021 ( 14:54:54 ) Bellampalli, 504251
email: bo_68E@licindia.com
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 34,844.00 from policyholder Shri/Smt.Ramagoni Saikiran Goud
towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
608368939 836 34,077.00 1 34,077.00 383.37 68E |0182568E
Saikiran Goud R 25 HLY 01/21 0.00 383.37 07/21
No 07/01/2019 15,00,000.00 01/21 0.00 + 0.00 34,843.74 36AAACL0582H1ZN
Page Total (Rs) 34,077.00 34,077.00 383.37
0.00 383.37
0.00 34,843.74
Grand Total (Rs) 34,077.00 34,077.00 383.37
0.00 383.37
0.00 34,843.74

RUPEES THIRTY-FOUR THOUSAND EIGHT HUNDRED FORTY-FOUR ONLY


Paid by Cash/Card/Sr :34,843.74
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Ramagoni Saikiran Goud Consolidated Stamp Duty Paid


S/O R Srinivas Goud, CSD/113/2020/1936 DTD. 18.09.2020
H.No.3-500, Rajiv Nagar,
Po Mdl.Asifabad, Dt.Komurambheem.
504293. For Life Insurance Corporation of India,
Mobile: Singam Narsaiah(675170)

*SGST also includes cess amount of Rs. 0.00.


GST and Cess borne by LIC of India is Rs 0.00

Har Pal Aapke Sath!!

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