Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

Collecting Center : A002

Transaction No. : 76183657
Date ( Time ): 29/01/2014 ( 08:06:50 )
Branch Code : 13W
LIC of India, Malout Branch
Near Railway Colony G T Road
Malout P B No 28.
Malout, 152107
email: bo_13W@licindia.com
HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks Rs. 14,314.00 from policyholder Shri/Smt.Khushwinder Singh
towards the following policy/ies
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
132683682
Khuswinder Singh
Ks
1023213W
179
16
28/02/2008
14,314.00
HLY
5,00,000.00
1
02/14
02/14
14,314.00
0.00
0.00
0.00
14,314.00
13W
08/14
Page Total (Rs) 14,314.00 14,314.00
0.00
0.00
0.00
14,314.00
Grand Total (Rs) 14,314.00 14,314.00
0.00
0.00
0.00
14,314.00
RUPEES FOURTEEN THOUSAND THREE HUNDRED FOURTEEN ONLY
Paid by Cash :14,314.00
Paid by Cheque :0.00
Cheque No :0
Cheque Date :
Khushwinder Singh
S/O Late Sh Pritam Singh
V=Po.Mallan Via Doda
Dist Muktsar
100000.
Mobile:
Email:
Consolidated Stamp Duty Paid
Mudrank :A.Mu.Sh.2013/2407/CR 442/M-1 Dated
20/09/2013
For Life Insurance Corporation of India,
Sh. Hem Raj(154684)