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Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

Collecting Branch : EPS1


E-mail : bo_eps1@licindia.com
Phone : +91-022-1251
Transaction No. : PR0651450400011314
Date ( Time ): 08/11/2013 ( 18:48:27 )
Servicing Branch : 797
LIC of India, Vaikom Branch Office
1st Floor
Municipal Office Complex.
Vaikom
Vaikom
686141
RENEWAL PREMIUM ACKNOWLEDGEMENT
Received with thanks Rs. 18630.30 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Vijesh Kuttambally
Towards the following
Policy No
Name
Agency Code
Plan
Term
D.O.C.
Inst. Prem(Rs)
Mode
Sum Assured
No Of Inst
Due Fr
Due To
Total Premium
Late Fee
Service Tax
Edu Cess
Total Amt
Branch
Next Due
394499860
Vijesh Kuttambally
01263797
90
16
05/10/2009
18,484.00
YLY
3,00,000.00
1
10/13
10/13
18,484.00
146.30
0.00
0.00
18,630.30
797
10/14
Page Total (Rs) 18,484.00 18,484.00
146.30
0.00
0.00
18,630.30
Grand Total (Rs) 18,484.00 18,484.00
146.30
0.00
0.00
18,630.30
RUPEES EIGHTEEN THOUSAND SIX HUNDRED THIRTY AND THIRTY PAISE ONLY
Vijesh Kuttambally
Ganapatheeyam
Eruvatty P O
Thalassery, Kannur
670647
Payment Acknowledgement generated through Online
Portal on 08-Nov-2013 Time : 18:49:45. Digitally Signed
Premium Receipt sent by email
This receipt is electronically generated.
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