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LIC Premium Payment Receipt

Smt. A Induja La renewed her life insurance policy number 717899484 by paying an annual premium of Rs. 3,666 through an online payment gateway. The receipt acknowledges receipt of the payment towards the next premium installment due in September 2019 for the life cover of Rs. 50,000 under the 15-year term policy issued on 22 September 2006. The total payment of Rs. 3,666 includes the premium amount along with applicable GST.

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Mohan Raj
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92 views1 page

LIC Premium Payment Receipt

Smt. A Induja La renewed her life insurance policy number 717899484 by paying an annual premium of Rs. 3,666 through an online payment gateway. The receipt acknowledges receipt of the payment towards the next premium installment due in September 2019 for the life cover of Rs. 50,000 under the 15-year term policy issued on 22 September 2006. The total payment of Rs. 3,666 includes the premium amount along with applicable GST.

Uploaded by

Mohan Raj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Collecting Branch : EPS1 Servicing Branch : LIC of India, Thiruvottiyur Br

NO.142-144
Transaction No : 12018813
T.H.Road,Tondiarpet Near RTO
Date ( Time ): 25/09/2018 ( 14:33:42 ) Chennai,600019
[email protected]
Receipt No : PR1201881300011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,666.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : A Induja La
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.
(`) (`) (`)
717899484 102 3,666.00 1 3,666.00 0.00 71D
A Induja La 15 YLY 09/18 0.00 0.00 09/19
0044871D 22/09/2006 50,000.00 09/18 0.00 3,666.00

Page Total (`) 3,666.00 3,666.00 0.00


0.00 0.00
0.00 3,666.00
Grand Total (`) 3,666.00 3,666.00 0.00
0.00 0.00
0.00 3,666.00

GST borne by LIC of India ` 82.48

THREE THOUSAND SIX HUNDRED SIXTY SIX RUPEES AND ZERO PAISE ONLY

A Induja La
No. 1/225, Venkateswara Nagar,
Near Annai Anjugam Nagar,
61,Nandambakam, Kundrathur,Chennai

600069 Payment Acknowledgement generated through


Online Portal on 25-Sep-18 Time : 14:35:55.
Mobile: 9788664761
Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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