LIC Receipt Jeevan Anand

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Collecting Branch : EPS1 Servicing Branch : LIC of India, Bangalore(Rich.

Richmond Town Branch Office


Transaction No : 20456025
Canara Mutual Bldg 2nd Flr.,Residency
Date ( Time ): 22/02/2018 ( 15:59:27 ) Bangalore ,560025
[email protected]
Receipt No : PR2045602500011718
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 19,362.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Chandra Shekar B.M.


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.
(`) (`) (`)
698723969 149 19,362.00 1 19,362.00 0.00 308
Chandra Shekar 72 HLY 01/18 0.00 0.00 07/18
00949308 28/07/2013 5,00,000 01/18 0.00 19,362.00

Page Total (`) 19,362.00 19,362.00 0.00


0.00 0.00
0.00 19,362.00
Grand Total (`) 19,362.00 19,362.00 0.00
0.00 0.00
0.00 19,362.00

GST borne by LIC of India ` 435.64

NINETEEN THOUSAND THREE HUNDRED SIXTY TWO RUPEES AND ZERO PAISE ONLY

Chandra Shekar B.M. Consolidated Stamp Duty Paid


# 527, 8th Cross, AMuSh2016/2967/CR747/M1 w.e.f. 30/11/2016
Kavika L/O, Bapujinagar,
Mysore Road, B Lore

560026 Payment Acknowledgement generated through


Online Portal on 22-Feb-18 Time : 16:02:40.
Mobile: 9845643645
Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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