PrmPayRcpt 30194553

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Collecting Center : A001 Branch Code : 976

LIC of India, Gondia Br Office 976


Transaction No. : 30194553 LIC OF INDIA,GONDIA BR OFFICE 976
JEEVAN JYOTI, NR JAYSTAMBH P.B.NO.21
Date ( Time ): 22/06/2024 ( 21:38:45 ) DIST BHANDARA MAHARASHTRA, 441601
email: [email protected]
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 2,952.00 from policyholder Shri/Smt.Raman Pralhad Pantawane
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.
936011379 936 2,887.00 1 2,887.00 32.48 976 |02948976
Pantawane Rp 21 QLY 05/24 0.00 32.48 08/24
No 28/08/2022 2,00,000.00 05/24 0.00 + 0.00 2,951.96 27AAACL0582H1ZM
Page Total (Rs) 2,887.00 2,887.00 32.48
0.00 32.48
0.00 2,951.96
Grand Total (Rs) 2,887.00 2,887.00 32.48
0.00 32.48
0.00 2,951.96

RUPEES TWO THOUSAND NINE HUNDRED FIFTY-TWO ONLY


Paid by Cash/Card/QR/SR :2,951.96
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Raman Pralhad Pantawane


Near Dhekwar Dudh Dairy
Puna Toli Tilak Ward
Gondia For Life Insurance Corporation of India,
441614. Chhanendarkumar Bhaulal Patle(02948976)
Mobile:

*SGST also includes cess amount of Rs. 0.00.


GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!

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