Collecting Branch : EPS1 Servicing Branch : LIC of India, Srirangam Branch

100/A Gandhiji Road P B No 6.

Transaction No : 31248261
Srirangam,Tamilnadu
Date ( Time ): 29/03/2020 ( 12:30:37 ) Srirangam,620006
bo_eps1@licindia.com
Receipt No : PR3124826100021920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 32,214.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : B Chandrakanth
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.
(`) (`) (`)
757993146 823 27,300.00 1 27,300.00 2,457.00 75F
B Chandrakanth 28 YLY 03/20 0.00 2,457.00 03/21
0131075F 19/03/2015 03/20 0.00 32,214.00 33AAACL0582H1ZT
50,00,000

Page Total (`) 27,300.00 27,300.00 2,457.00

0.00 2,457.00
0.00 32,214.00
Grand Total (`) 27,300.00 27,300.00 2,457.00
0.00 2,457.00
0.00 32,214.00

THIRTY TWO THOUSAND TWO HUNDRED FOURTEEN RUPEES AND ZERO PAISE ONLY

B Chandrakanth
Consolidated Stamp Duty Paid
No.5 Srinagar Trunk Road,T.V.Koil
Srirangam Tk CSD/323/2020/802/2020 DTD.20/02/2020
Trichy

620005 Payment Acknowledgement generated through

Online Portal on 29-Mar-20 Time : 12:32:33.
Mobile: 9443131373
Email: chandrakanth.bala@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Rock Fort Branch
19/20 Bharatiyar Road P B No-488
Transaction No : 31248261
Tiruchirapalli.,Tamilnadu
Date ( Time ): 29/03/2020 ( 12:30:37 ) Trichy,620008
bo_eps1@licindia.com
Receipt No : PR3124826100021920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 30,797.70 through Payment Gateway over the Internet from:

Smt./Ms./Shri : B Chandrakanth
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.
(`) (`) (`)
757952969 815 30,120.00 1 30,120.00 338.85 665
B Chandrakanth 21 YLY 03/20 0.00 338.85 03/21
02586665 11/03/2015 03/20 0.00 30,797.70 33AAACL0582H1ZT
5,00,000

Page Total (`) 30,120.00 30,120.00 338.85

0.00 338.85
0.00 30,797.70
Grand Total (`) 30,120.00 30,120.00 338.85
0.00 338.85
0.00 30,797.70

THIRTY THOUSAND SEVEN HUNDRED NINETY SEVEN RUPEES AND SEVENTY PAISE ONLY

B Chandrakanth
Consolidated Stamp Duty Paid
No.5 Srinagar Trunk Road,T.V.Koil
Srirangam Tk CSD/323/2020/802/2020 DTD.20/02/2020
Trichy

620005 Payment Acknowledgement generated through

Online Portal on 29-Mar-20 Time : 12:32:33.
Mobile: 9443131373
Email: chandrakanth.bala@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!