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    RenewalPremium 39475264

    Uploaded by

    Mahendra Kumar
    This document is a receipt for a renewal premium payment of Rs. 4,609 made by Phool Kumari towards her life insurance policy numbered 313669871. The payment was made through an online payment gateway. The receipt provides details of the policy such as the plan type, sum assured, due dates, and branch information. GST of Rs. 103.70 is borne by LIC of India and the total amount received is Rs. 4,609.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    RenewalPremium 39475264

    Uploaded by

    Mahendra Kumar
    20 views1 page
    This document is a receipt for a renewal premium payment of Rs. 4,609 made by Phool Kumari towards her life insurance policy numbered 313669871. The payment was made through an online payment gateway. The receipt provides details of the policy such as the plan type, sum assured, due dates, and branch information. GST of Rs. 103.70 is borne by LIC of India and the total amount received is Rs. 4,609.

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    RenewalPremium_39475264

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    This document is a receipt for a renewal premium payment of Rs. 4,609 made by Phool Kumari towards her life insurance policy numbered 313669871. The payment was made through an online payment gateway. The receipt provides details of the policy such as the plan type, sum assured, due dates, and branch information. GST of Rs. 103.70 is borne by LIC of India and the total amount received is Rs. 4,609.

    Copyright:

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

    RenewalPremium 39475264

    Uploaded by

    Mahendra Kumar
    This document is a receipt for a renewal premium payment of Rs. 4,609 made by Phool Kumari towards her life insurance policy numbered 313669871. The payment was made through an online payment gateway. The receipt provides details of the policy such as the plan type, sum assured, due dates, and branch information. GST of Rs. 103.70 is borne by LIC of India and the total amount received is Rs. 4,609.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    mahip2608@g

    We observe

    Collecting Branch : EPS1 Servicing Branch : LIC of India, Fatehpur Br Office


    LIC OF INDIA,FATEHPUR BR OFFICE
    Transaction No : 39475264
    2-A,GAUTAM NAGAR,CIVIL LINES.
    Date ( Time ): 11/03/2023 ( 17:50:59 ) FATEHPUR,UP,0
    Email: BO_244@LICINDIA.COM
    Receipt No : PR3947526400012223
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 4,609.00 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Phool Kumari


    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) (`) (`) (`)
    313669871 149 / 55 4,609.00 1 4,609.00 0.00 244
    Phool Kumari 28/03/2009 HLY 03/23 0.00 0.00 09/23
    No 03/23 0.00 4,609.00 09AAACL0582HFZ6
    04186244 1,00,000

    Page Total (`) 4,609.00 4,609.00 0.00


    0.00 0.00
    0.00 4,609.00
    Grand Total (`) 4,609.00 4,609.00 0.00
    0.00 0.00
    0.00 4,609.00

    GST borne by LIC of India ` 103.70


    FOUR THOUSAND SIX HUNDRED NINE RUPEES AND ZERO PAISE ONLY

    Phool Kumari
    W/O Sri Chhedi Lal
    Neem Tola,Kaderi Jal Nigam,Khaga
    Dt.Fatehpur

    212655 Payment Acknowledgement generated through


    Online Portal on 11-Mar-23 Time : 17:52:07.
    Mobile: 95******25
    Email: ma********08@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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