PaymentReceipt 54174678

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krishnabobbadi

808711389_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Narasipatnam Br


LIC OF INDIA,NARASIPATNAM BR
Transaction No : 54174678
NEAR R T C
Date ( Time ): 11/10/2024 ( 08:14:27 ) DIST VISAKHAPATNAM,531116
Email: BO_69R@LICINDIA.COM
Receipt No : PR5417467800012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 11,093.10 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Bobbadi Nagakrishna Yeswanth


towards the following :
Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name Mode Due From Late Fee SGST/UTGST Next Due
D.O.C.
Sum Assured Due To CD Charges Total Amt
Revival Agency Code Reg. No.
(Yes/No) (`) (`) (`)
808711389 815 / 21 10,849.00 1 10,849.00 122.05 69R
Bobbadi 27/04/2017 HLY 10/24 0.00 122.05 04/25
No 0165369R 4,00,000 10/24 0.00 11,093.10 37AAACL0582H2ZK

Page Total (`) 10,849.00 10,849.00 122.05


0.00 122.05
0.00 11,093.10
Grand Total (`) 10,849.00 10,849.00 122.05
0.00 122.05
0.00 11,093.10

ELEVEN THOUSAND NINETY THREE RUPEES AND TEN PAISE ONLY

Bobbadi Nagakrishna Yeswanth


Consolidated Stamp Duty Paid
S/O.Anandarao
D/No.1-17/2-20.Contonment.Po Consolidated Stamp Duty paid vide order no. LOA/ENF-
Bobbadi.Vizianagaram.Dt

535003 Payment Acknowledgement generated through


Online Portal on 11-Oct-24 Time : 08:15:16.
Mobile: 99******36
Email: kr********di@yahoo.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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