Manuj Gupta paid Rs. 3,235 towards renewal of his life insurance policy numbered 253648905 with LIC of India, Ghaziabad Branch II. The policy is a 149 plan with a sum assured of Rs. 1,00,000 and has a yearly premium due on March 2019. The receipt acknowledges receipt of payment by cheque for Rs. 3,235 towards the premium along with policy details such as next premium due date and agent code.
Manuj Gupta paid Rs. 3,235 towards renewal of his life insurance policy numbered 253648905 with LIC of India, Ghaziabad Branch II. The policy is a 149 plan with a sum assured of Rs. 1,00,000 and has a yearly premium due on March 2019. The receipt acknowledges receipt of payment by cheque for Rs. 3,235 towards the premium along with policy details such as next premium due date and agent code.
Manuj Gupta paid Rs. 3,235 towards renewal of his life insurance policy numbered 253648905 with LIC of India, Ghaziabad Branch II. The policy is a 149 plan with a sum assured of Rs. 1,00,000 and has a yearly premium due on March 2019. The receipt acknowledges receipt of payment by cheque for Rs. 3,235 towards the premium along with policy details such as next premium due date and agent code.
Manuj Gupta paid Rs. 3,235 towards renewal of his life insurance policy numbered 253648905 with LIC of India, Ghaziabad Branch II. The policy is a 149 plan with a sum assured of Rs. 1,00,000 and has a yearly premium due on March 2019. The receipt acknowledges receipt of payment by cheque for Rs. 3,235 towards the premium along with policy details such as next premium due date and agent code.
Received with thanks Rs. 3,235.00 from policyholder Shri/Smt.Manuj Gupta
towards the following policy/ies
Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch
Name Term Mode Due Fr Late Fee SGST/UTGST Next Due Agency D.O.C. Sum Assured Due To CD Chgs Total Amt Reg. No. Code 253648905 149 3,235.00 1 3,235.00 0.00 25H Gupta 81 YLY 03/19 0.00 0.00 03/20 0185825H 26/03/2005 1,00,000.00 03/19 0.00 3,235.00 Page Total (Rs) 3,235.00 3,235.00 0.00 0.00 0.00 0.00 3,235.00 Grand Total (Rs) 3,235.00 3,235.00 0.00 0.00 0.00 0.00 3,235.00
RUPEES THREE THOUSAND TWO HUNDRED THIRTY-FIVE ONLY
Paid by Cash/Card :0.00 Paid by Cheque :3,235.00 Cheque No :631196 Cheque Date :01/03/2019
Manuj Gupta Consolidated Stamp Duty Paid
S/Osh Rakesh Gupta 38,Double Story,Welcome Seelampur Phase Ii,Delhi For Life Insurance Corporation of India, 110053. Sh.Hari Shanker Tiwari(55355111) Mobile: Email:
**GST borne by LIC of India is Rs 72.78
This receipt is subject to realisation of cheque amount.