suhasrenu85@
Collecting Branch : EPS1 Servicing Branch : LIC of India, Mandya Branch
LIC OF INDIA,MANDYA BRANCH
Transaction No : 3599702
P.B.NO.15,BANDIGOWDA
Date ( Time ): 29/04/2025 ( 07:11:46 ) ,571401
Email:
[email protected] Receipt No : PR0359970200012526
Call Center No: 022 6827 6827
N
RENEWAL PREMIUM RECEIPT
Received with thanks ` 2,098.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Suhash.H.R
towards the following :
Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name Mode Due From Late Fee SGST/UTGST Next Due
D.O.C.
Sum Assured Due To CD Charges Total Amt
Revival Agency Code Reg. No.
(Yes/No) (`) (`) (`)
724148177 149 / 78 2,098.00 1 2,098.00 0.00 618
Sri. H.R. 15/04/2008 HLY 04/25 0.00 0.00 10/25
No 02052618 1,00,000 04/25 0.00 2,098.00 29AAACL0582H2ZH
Page Total (`) 2,098.00 2,098.00 0.00
0.00 0.00
0.00 2,098.00
Grand Total (`) 2,098.00 2,098.00 0.00
0.00 0.00
0.00 2,098.00
GST borne by LIC of India ` 47.20
TWO THOUSAND NINETY EIGHT RUPEES AND ZERO PAISE ONLY
Suhash.H.R
S/O H.C.Renukumar C/O B.Mariswamy
K.L.765, 19th Cross
V.V.Nagara, Mandya
571401 Payment Acknowledgement generated through
Online Portal on 29-Apr-25 Time : 07:12:18.
Mobile: 97******16
Email: su********
[email protected]For Payment related queries-Email:
[email protected] This receipt is electronically generated and no signature is required.
Har Pal Aapke Saath!
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