Collecting Branch : EPS1 Servicing Branch : LIC of India, Mumbai B O 911

Industrial Assurance Bldg

Transaction No : 13071443
Churchgate.,Mumbai
Date ( Time ): 16/09/2019 ( 22:41:34 ) Churchgate,400020
bo_eps1@licindia.com
Receipt No : PR1307144300011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 5,812.36 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Meet Vinod Malkan La

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
908156881 814 5,633.00 1 5,633.00 67.38 911
Meet Vinod 25 HLY 08/19 44.60 67.38 02/20
83908911 13/08/2015 3,00,000 08/19 0.00 5,812.36 0

Page Total (`) 5,633.00 5,633.00 67.38

44.60 67.38
0.00 5,812.36
Grand Total (`) 5,633.00 5,633.00 67.38
44.60 67.38
0.00 5,812.36

FIVE THOUSAND EIGHT HUNDRED TWELVE RUPEES AND THIRTY SIX PAISE ONLY

Meet Vinod Malkan La

Consolidated Stamp Duty Paid
Vinod L. Malkan Pr
D-114, Swapra Nagar, Co-Op Hsc,No-1, CSD/328/2019/646/19 DTD.15/02/2019
P.P.Marg, Nr Bus Stop , Virar W

401305 Payment Acknowledgement generated through

Online Portal on 16-Sep-19 Time : 22:43:19.
Mobile: 9834603845
Email: malkanmeet200@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!