PremiumpaymentReceipt 40320557

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p.k.

mallick196

559802069_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Patna CAB
LIC OF INDIA,PATNA CAB
Transaction No : 40320557
CAREER AGENTS BRANCH
Date ( Time ): 10/03/2024 ( 13:37:18 ) PATNA,800001
Email: BO_490@LICINDIA.COM
Receipt No : PR4032055700012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 4,048.58 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Devchandan Mallick


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) (`) (`)
559802069 904 / 57 3,431.00 1 3,431.00 308.79 490
Devchandan 17/02/2016 YLY 02/24 0.00 308.79 02/25
No 02/24 0.00 4,048.58 10AAACL0582H2Z0
00625490 0.00

Page Total (`) 3,431.00 3,431.00 308.79


0.00 308.79
0.00 4,048.58
Grand Total (`) 3,431.00 3,431.00 308.79
0.00 308.79
0.00 4,048.58

FOUR THOUSAND FORTY EIGHT RUPEES AND FIFTY EIGHT PAISE ONLY

Devchandan Mallick
S/O - P . K.Mallick
Lic Of India , Ecz , Jeevan Deep Bldg
Engineering Dept, Patna

800001 Payment Acknowledgement generated through


Online Portal on 10-Mar-24 Time : 13:40:13.
Mobile: 94******26
Email: p.********62@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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