Collecting Branch : EPS1 Servicing Branch : LIC of India, Bangalore City
United India Bldg
Transaction No : 22978080
1st Floor J C Rd.,Bangalore
Date ( Time ): 09/01/2020 ( [Link] ) Bangalore,560002
bo_eps1@[Link]
Receipt No : PR2297808000011920
HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks ` 33,500.00 through Payment Gateway over the Internet from
Smt./Ms./Shri : S Mohan Kumar
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.
(`) (`) (`)
617778799 815 33,134.14 1 33,134.14 182.93 611
S Mohan Kumar 21 QLY 01/20 0.00 182.93 04/20
05496611 09/03/2017 01/20 0.00 16,625.86 29AAACL0582H2ZH
12,00,000
Page Total (`) 33,134.14 33,134.14 182.93
0.00 182.93
0.00 33,500.00
Grand Total (`) 33,134.14 33,134.14 182.93
0.00 182.93
0.00 33,500.00
THIRTY THREE THOUSAND AND FIVE HUNDRED ONLY
S Mohan Kumar
No.11, 6th Cross, Ullal Main Road,
Jnanajyothi Nagar,
Bangalore.
560056 Payment Acknowledgement generated through
Online Portal on 30-Jan-20 Time : [Link].
Mobile: 8152852747
Email: mohankumar491@[Link]
This receipt is electronically generated and no signature is required.
Har Pal Aapke Saath!