Collecting Branch : EPS1

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

Servicing Branch : 655

LIC of India, Nandyal Branch Office
P B No 5 284/24 Station Rd.
Nandyal A P

Transaction No. : PR0670287500011516

Nandyal
518502

Date ( Time ): 11/09/2015 ( 11:20:43 )

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 25173.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Katam Reddy Swathi
Towards the following
Policy No
Name
Agency Code
656699273

Plan
Term
D.O.C.
149
Swathi Kr
75
03837655
12/09/2013
Page Total (Rs)

Grand Total (Rs)

Inst. Prem(Rs)
Mode
Sum Assured
25,173.00
YLY
5,00,000.00
25,173.00

25,173.00

No Of Inst
Due Fr
Due To
1
09/15
09/15

Total Premium
Late Fee
25,173.00
0.00
25,173.00
0.00
25,173.00
0.00

Service Tax
Edu Cess
Total Amt
0.00
0.00
25,173.00
0.00
0.00
25,173.00
0.00
0.00
25,173.00

Branch
Next Due
655
09/16

RUPEES TWENTY-FIVE THOUSAND ONE HUNDRED SEVENTY-THREE ONLY

Katam Reddy Swathi
W/O Kamireddy Kishore Reddy,
Rgm College Of Engg&Tech,
Nandyal Kurnool Dt
518501

A.Mu.Sh.2015/CR 242/M-1 Dated 15/05/2015

This receipt is electronically generated.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

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