Life Insurance Corporation of India Please SMS LICHELP <Policy Number> to

PCMC Department, Central Office, 9222492224 and for your LIC policy
Mumbai enquires (24*7), call on 022 - 68276827

Email: pcmc.cbk1@licindia.com

Renewal Premium Receipt

GST No.37AAACL0582H2ZK

Receipt No:9026102 Order Id:HGA1P06BBD0039558804 Name:Bulusu Gowtham Sarma

Policy Number:806819481 Date:27-12-2019 11:03:48 Amount:6032.56

Policy Details
Servicing LIC Branch Code 69G

Instalment Premium 5794.0

Mode / Number Of Instalments Half Yearly / 1

Due from - Due To 28/10/2019 - 28/10/2019

Total Premium 5794.0

CDA Charges 0.0

Late Fee 91.7

SGST / UTGST 73.43

CGST 73.43

Next Due 28/04/2020

Grand Total 6032.56

Mudrank Number CSD/328/2019/646/19

** GST borne by LIC of India is Rs.0.0

This receipt is electronically generated and no signature is required.