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    Premium Recipt PDF

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    Shaibal Sengupta
    This receipt acknowledges the renewal premium payment of Rs. 7,210.68 made through an online payment gateway for LIC policy number 243404332. The payment is for the next premium installment of Rs. 7,052 due on June 21, 2021. The policyholder is Shaibal Proshanta Sengupta with a sum assured of Rs. 2,00,000 under a 20-year term plan issued on June 28, 2015. The receipt provides details of the premium breakdown including taxes.

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    Premium Recipt PDF

    Uploaded by

    Shaibal Sengupta
    49 views1 page
    This receipt acknowledges the renewal premium payment of Rs. 7,210.68 made through an online payment gateway for LIC policy number 243404332. The payment is for the next premium installment of Rs. 7,052 due on June 21, 2021. The policyholder is Shaibal Proshanta Sengupta with a sum assured of Rs. 2,00,000 under a 20-year term plan issued on June 28, 2015. The receipt provides details of the premium breakdown including taxes.

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    This receipt acknowledges the renewal premium payment of Rs. 7,210.68 made through an online payment gateway for LIC policy number 243404332. The payment is for the next premium installment of Rs. 7,052 due on June 21, 2021. The policyholder is Shaibal Proshanta Sengupta with a sum assured of Rs. 2,00,000 under a 20-year term plan issued on June 28, 2015. The receipt provides details of the premium breakdown including taxes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views1 page

    Premium Recipt PDF

    Uploaded by

    Shaibal Sengupta
    This receipt acknowledges the renewal premium payment of Rs. 7,210.68 made through an online payment gateway for LIC policy number 243404332. The payment is for the next premium installment of Rs. 7,052 due on June 21, 2021. The policyholder is Shaibal Proshanta Sengupta with a sum assured of Rs. 2,00,000 under a 20-year term plan issued on June 28, 2015. The receipt provides details of the premium breakdown including taxes.

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    243404332_1

    Collecting Branch : EPS1 Servicing Branch : LIC of India, Pantnagar Branch


    LIC OF INDIA,PANTNAGAR BRANCH
    Transaction No : 9989138
    NAGLADAIRY FARM,
    Date ( Time ): 27/06/2021 ( 15:07:35 ) ,263145
    Email: BO_22P@LICINDIA.COM
    Receipt No : PR0998913800012122
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 7,210.68 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Shaibal Proshanta Sengupta


    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) (`) (`) (`)
    243404332 827 / 20 7,052.00 1 7,052.00 79.34 22P
    Shaibal 28/06/2015 YLY 06/21 0.00 79.34 06/22
    No 06/21 0.00 7,210.68 05AAACL0582H3ZQ
    0059522P 2,00,000

    Page Total (`) 7,052.00 7,052.00 79.34


    0.00 79.34
    0.00 7,210.68
    Grand Total (`) 7,052.00 7,052.00 79.34
    0.00 79.34
    0.00 7,210.68

    SEVEN THOUSAND TWO HUNDRED TEN RUPEES AND SIXTY EIGHT PAISE ONLY

    Shaibal Proshanta Sengupta


    Consolidated Stamp Duty Paid
    S/O Sri Proshanta Kumar Sengupta
    Rhone- E- Flat No 002, Omax CSD/113/2020/1936 DTD. 18.09.2020
    Rudrapur Distt-Us Nagar U .K

    263153 Payment Acknowledgement generated through


    Online Portal on 27-Jun-21 Time : 15:08:40.
    Mobile: 84******67
    Email: sh********26@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!

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