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    Renewal Premium Receipt: Har Pal Aapke Sath!!

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    Ambika Pattanaik paid Rs. 3,684.00 towards renewal of her life insurance policy number 841875066 with LIC of India's Nayagarh branch office. The payment covered an installment premium of Rs. 3,507.00, late fee of Rs. 83.30, and GST of Rs. 93.90. The policy has a sum assured of Rs. 1,10,000 and is due for renewal again on September 2021.

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    Renewal Premium Receipt: Har Pal Aapke Sath!!

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    Ambika Pattanaik paid Rs. 3,684.00 towards renewal of her life insurance policy number 841875066 with LIC of India's Nayagarh branch office. The payment covered an installment premium of Rs. 3,507.00, late fee of Rs. 83.30, and GST of Rs. 93.90. The policy has a sum assured of Rs. 1,10,000 and is due for renewal again on September 2021.

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    Ambika Pattanaik paid Rs. 3,684.00 towards renewal of her life insurance policy number 841875066 with LIC of India's Nayagarh branch office. The payment covered an installment premium of Rs. 3,507.00, late fee of Rs. 83.30, and GST of Rs. 93.90. The policy has a sum assured of Rs. 1,10,000 and is due for renewal again on September 2021.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    Renewal Premium Receipt: Har Pal Aapke Sath!!

    Uploaded by

    Whatsapp Lovers status
    Ambika Pattanaik paid Rs. 3,684.00 towards renewal of her life insurance policy number 841875066 with LIC of India's Nayagarh branch office. The payment covered an installment premium of Rs. 3,507.00, late fee of Rs. 83.30, and GST of Rs. 93.90. The policy has a sum assured of Rs. 1,10,000 and is due for renewal again on September 2021.

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    of 1

    Collecting Center : A001 Branch Code : 58A

    LIC of India, Nayagarh Br Office


    Transaction No. : 29412200 LIC OF INDIA,NAYAGARH BR OFFICE
    MAIN ROAD
    Date ( Time ): 22/06/2021 ( 21:05:18 ) DIST-NAYAGARH (ORISSA), 752069
    email: [email protected]
    Call Center No: 022-68276827

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 3,684.00 from policyholder Shri/Smt.Ambika Pattanaik


    towards the following policy/ies

    Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
    Name Term Mode Due Fr Late Fee SGST*/UTGST Code
    Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
    (Yes/No) Xcharge Reg. No.
    841875066 814 3,507.00 1 3,507.00 46.95 58A |0115958A
    A Pattanaik 18 HLY 03/21 83.30 46.95 09/21
    Yes 15/03/2019 1,10,000.00 03/21 0.00 + 0.00 3,684.20 21AAACL0582H1ZY
    Page Total (Rs) 3,507.00 3,507.00 46.95
    83.30 46.95
    0.00 3,684.20
    Grand Total (Rs) 3,507.00 3,507.00 46.95
    83.30 46.95
    0.00 3,684.20

    RUPEES THREE THOUSAND SIX HUNDRED EIGHTY-FOUR ONLY


    Paid by Cash/Card/Sr :3,684.20
    Paid by Cheque :0.00
    Cheque No/ChequeDate : 0/

    Ambika Pattanaik Consolidated Stamp Duty Paid


    W/O-Biranchinarayan Das
    At/Po-Rayatdholamara,Via-Gania
    Dist-Nayagarh Odisha For Life Insurance Corporation of India,
    752085. Suresh Chandra Parida(0115958A)
    Mobile:

    *SGST also includes cess amount of Rs. 0.00.


    GST and Cess borne by LIC of India is Rs 0.00

    Har Pal Aapke Sath!!

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