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

S C O No 46-47 2nd Floor

Transaction No : 25172629
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 02/03/2019 ( 20:37:25 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR2517262900011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,496.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526266 185 3,496.00 1 3,496.00 0.00 16L
Gurnoor Kaur 20 QLY 03/19 0.00 0.00 06/19
0244616L 28/06/2013 2,00,000 03/19 0.00 3,496.00

Page Total (`) 3,496.00 3,496.00 0.00

0.00 0.00
0.00 3,496.00
Grand Total (`) 3,496.00 3,496.00 0.00
0.00 0.00
0.00 3,496.00

GST borne by LIC of India ` 78.66

THREE THOUSAND FOUR HUNDRED NINETY SIX RUPEES AND ZERO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 25172187
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 02/03/2019 ( 20:32:27 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR2517218700011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,409.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526261 184 3,409.00 1 3,409.00 0.00 16L
Gurnoor Kaur 20 QLY 03/19 0.00 0.00 06/19
0244616L 28/06/2013 2,00,000 03/19 0.00 3,409.00

Page Total (`) 3,409.00 3,409.00 0.00

0.00 0.00
0.00 3,409.00
Grand Total (`) 3,409.00 3,409.00 0.00
0.00 0.00
0.00 3,409.00

GST borne by LIC of India ` 76.70

THREE THOUSAND FOUR HUNDRED NINE RUPEES AND ZERO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 19408229
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 01/01/2019 ( 09:43:58 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR1940822900021819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,913.58 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526261 184 3,409.00 2 6,818.00 7.29 16L
Gurnoor Kaur 20 QLY 09/18 81.00 7.29 03/19
0244616L 28/06/2013 2,00,000 12/18 0.00 6,913.58

Page Total (`) 3,409.00 6,818.00 7.29

81.00 7.29
0.00 6,913.58
Grand Total (`) 3,409.00 6,818.00 7.29
81.00 7.29
0.00 6,913.58

GST borne by LIC of India ` 153.40

SIX THOUSAND NINE HUNDRED THIRTEEN RUPEES AND FIFTY EIGHT PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 19408229
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 01/01/2019 ( 09:43:58 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR1940822900021819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,089.99 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526266 185 3,496.00 2 6,992.00 7.47 16L
Gurnoor Kaur 20 QLY 09/18 83.05 7.47 03/19
0244616L 28/06/2013 2,00,000 12/18 0.00 7,089.99

Page Total (`) 3,496.00 6,992.00 7.47

83.05 7.47
0.00 7,089.99
Grand Total (`) 3,496.00 6,992.00 7.47
83.05 7.47
0.00 7,089.99

GST borne by LIC of India ` 157.32

SEVEN THOUSAND EIGHTY NINE RUPEES AND NINETY NINE PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 8900456
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 13/08/2018 ( 09:53:33 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR0890045600021819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,472.72 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526261 184 3,409.00 1 3,409.00 4.86 16L
Gurnoor Kaur 20 QLY 06/18 54.00 4.86 09/18
0244616L 28/06/2013 2,00,000 06/18 0.00 3,472.72

Page Total (`) 3,409.00 3,409.00 4.86

54.00 4.86
0.00 3,472.72
Grand Total (`) 3,409.00 3,409.00 4.86
54.00 4.86
0.00 3,472.72

GST borne by LIC of India ` 76.70

THREE THOUSAND FOUR HUNDRED SEVENTY TWO RUPEES AND SEVENTY TWO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 8900456
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 13/08/2018 ( 09:53:33 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR0890045600021819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,561.38 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526266 185 3,496.00 1 3,496.00 4.99 16L
Gurnoor Kaur 20 QLY 06/18 55.40 4.99 09/18
0244616L 28/06/2013 2,00,000 06/18 0.00 3,561.38

Page Total (`) 3,496.00 3,496.00 4.99

55.40 4.99
0.00 3,561.38
Grand Total (`) 3,496.00 3,496.00 4.99
55.40 4.99
0.00 3,561.38

GST borne by LIC of India ` 78.66

THREE THOUSAND FIVE HUNDRED SIXTY ONE RUPEES AND THIRTY EIGHT PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Shimla Branch
Post Box No 12
Transaction No : 5916361
Jeevan Jyoti.,The Mall Shimla
Date ( Time ): 02/07/2018 ( 14:32:58 ) Shimla,171001
bo_eps1@licindia.com
Receipt No : PR0591636100011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,491.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
151727272 93 1,491.00 1 1,491.00 0.00 166
Sri Gagandeep 25 HLY 07/18 0.00 0.00 01/19
00280167 02/07/2005 55,000.00 07/18 0.00 1,491.00

Page Total (`) 1,491.00 1,491.00 0.00

0.00 0.00
0.00 1,491.00
Grand Total (`) 1,491.00 1,491.00 0.00
0.00 0.00
0.00 1,491.00

GST borne by LIC of India ` 33.54

ONE THOUSAND FOUR HUNDRED NINETY ONE RUPEES AND ZERO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 314620
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 04/04/2018 ( 21:10:15 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR0031462000011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,409.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526261 184 3,409.00 1 3,409.00 0.00 16L
Gurnoor Kaur 20 QLY 03/18 0.00 0.00 06/18
0244616L 28/06/2013 2,00,000 03/18 0.00 3,409.00

Page Total (`) 3,409.00 3,409.00 0.00

0.00 0.00
0.00 3,409.00
Grand Total (`) 3,409.00 3,409.00 0.00
0.00 0.00
0.00 3,409.00

GST borne by LIC of India ` 76.70

THREE THOUSAND FOUR HUNDRED NINE RUPEES AND ZERO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Mohali Branch
S C O No 46-47 2nd Floor
Transaction No : 314464
2nd Phase S A S Nagar Mohali.,Dist
Date ( Time ): 04/04/2018 ( 21:07:38 ) Mohali,160055
bo_eps1@licindia.com
Receipt No : PR0031446400011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,496.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Gagan Deep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
165526266 185 3,496.00 1 3,496.00 0.00 16L
Gurnoor Kaur 20 QLY 03/18 0.00 0.00 06/18
0244616L 28/06/2013 2,00,000 03/18 0.00 3,496.00

Page Total (`) 3,496.00 3,496.00 0.00

0.00 0.00
0.00 3,496.00
Grand Total (`) 3,496.00 3,496.00 0.00
0.00 0.00
0.00 3,496.00

GST borne by LIC of India ` 78.66

THREE THOUSAND FOUR HUNDRED NINETY SIX RUPEES AND ZERO PAISE ONLY

Gagan Deep Singh

Block No-7 Set No-15-16
Cecil Hotel Shimla H.P

171004 Payment Acknowledgement generated through

Online Portal on 05-Mar-19 Time : 13:03:07.
Mobile: 9915091776
Email: gagys_mailbox@yahoo.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!