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Received With Thanks ' 4,647.73 Through Payment Gateway Over The Internet From

This receipt acknowledges payment of Rs. 4,647.73 through an online payment gateway for renewal of an LIC insurance policy. The payment is for policy number 993765662 held by Valappil D K with a sum assured of Rs. 2,00,000, with an installment premium of Rs. 2,242 due quarterly. The receipt provides details of the premium amount paid, GST, and the next due date.

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devesh
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87 views1 page

Received With Thanks ' 4,647.73 Through Payment Gateway Over The Internet From

This receipt acknowledges payment of Rs. 4,647.73 through an online payment gateway for renewal of an LIC insurance policy. The payment is for policy number 993765662 held by Valappil D K with a sum assured of Rs. 2,00,000, with an installment premium of Rs. 2,242 due quarterly. The receipt provides details of the premium amount paid, GST, and the next due date.

Uploaded by

devesh
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, Chinchwad Br

II Floor, Gheewala Complex,


Transaction No : 23076536
Opp. Ramkrishna More
Date ( Time ): 08/02/2019 ( 13:05:43 ) Chinchwad,411033
[email protected]
Receipt No : PR2307653600011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 4,647.73 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Valappil D K
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.
(`) (`) (`)
993765662 815 2,242.00 2 4,484.00 55.24 95B
Devesh 25 QLY 10/18 53.25 55.24 04/19
4232295B 28/01/2014 2,00,000 01/19 0.00 4,647.73

Page Total (`) 2,242.00 4,484.00 55.24


53.25 55.24
0.00 4,647.73
Grand Total (`) 2,242.00 4,484.00 55.24
53.25 55.24
0.00 4,647.73

FOUR THOUSAND SIX HUNDRED FORTY SEVEN RUPEES AND SEVENTY THREE PAISE ONLY

Valappil D K

Payment Acknowledgement generated through


Online Portal on 08-Feb-19 Time : 13:06:49.
Mobile: 8139918333
Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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