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Collecting Branch : EPS1

E-mail : bo_eps1@licindia.com
Phone : +91-022-1251

Servicing Branch : 413


LIC of India, Calcutta Branch 2
7 Council House Street
Ground Floor.
Calcutta
Calcutta Cbo-2
700001

Transaction No. : PR0945459100011314


Date ( Time ): 15/01/2014 ( 14:34:10 )

RENEWAL PREMIUM ACKNOWLEDGEMENT


Received with thanks Rs. 24020.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Nilanjan Sil
Towards the following
Policy No
Name
Agency Code
494529898

Plan
Term
D.O.C.
165
N.Sil
Sri
25
10619412
22/12/2011
Page Total (Rs)

Grand Total (Rs)

Inst. Prem(Rs)
Mode
Sum Assured
24,020.00
YLY
5,00,000.00
24,020.00

No Of Inst
Due Fr
Due To
1
12/13
12/13

24,020.00

Total Premium
Late Fee
24,020.00
0.00
24,020.00
0.00
24,020.00
0.00

Service Tax
Edu Cess
Total Amt
0.00
0.00
24,020.00
0.00
0.00
24,020.00
0.00
0.00
24,020.00

Branch
Next Due
413
12/14

RUPEES TWENTY-FOUR THOUSAND TWENTY ONLY


Nilanjan Sil
147/F,Ramdulal Sarkar Street
Kolkata
Wb
700006

Payment Acknowledgement generated through Online


Portal on 15-Jan-2014 Time : 14:36:17. Digitally Signed
Premium Receipt sent by email

This receipt is electronically generated.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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