Collecting Branch : EPS1 Servicing Branch : LIC of India, Dindigul Branch
Post Box No-5
Transaction No : 20089614 45 New Agraharam.,Dindigul (Tn) Date ( Time ): 09/12/2019 ( 20:25:15 ) Dindigul,624001 bo_eps1@licindia.com Receipt No : PR2008961400011920 HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks ` 6,125.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : S Reena 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. (`) (`) (`) 746569200 165 6,125.00 1 6,125.00 0.00 749 S Reena 15 QLY 11/19 0.00 0.0 02/20 03936749 10/02/2011 11/19 0.00 6,125.00 33AAACL0582H1ZT 5,00,000
Page Total (`) 6,125.00 6,125.00 0.00
0.00 0.00 0.00 6,125.00 Grand Total (`) 6,125.00 6,125.00 0.00 0.00 0.00 0.00 6,125.00
GST borne by LIC of India ` 137.82
SIX THOUSAND ONE HUNDRED TWENTY FIVE RUPEES AND ZERO PAISE ONLY
S Reena D/O.V.Selvanayagam 5/939,Chandru Nagar,Siluvathur Road Balakrishnapuram Post,Dindigul
624005 Payment Acknowledgement generated through
Online Portal on 14-Jan-20 Time : 14:20:19. Mobile: 8870221300 Email: reenashyamala14@gmail.com
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