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[BUG ts rsurance corporation ot naa For your LIC policy enquires (24*7), call on 022-68276827 casi PCMC Department, Central Office, Mumbai Email: peme.cbki @licindia.com SMS: LICHELP "Polley Number to 9222492228 GST No.29AAACLOS82H22t Renewal Premium Receipt Naveen M Oli Receipt Number: 05086618 Paytm Order 1d: 8357543641 Policy Number Date & Time Amount (Pais Using Paytr 638485521 28 May, 2019 08:27 AM % 255930 Policy Details Mudrank No. S0/328/2019/646/19 Servicing LIC Branch Code 632 Installment Premium % 25593.0 Mode/Number of Installments Yearly/1 Due from - Due To 28/05/2019 - 28/05/2019 Total Premium % 255930 CDA Charges 0.0 Late Fee X00 SGST/UTGST zo cost Bo Grand Total % 25593.0 Next Due 28/05/2020 GST borne by LIC of India % 575.84 NOTE: In case of any concerns, please quote Paytm Order ID, Order Date, Receipt Number and Policy Number. Please note that this receipt is the only acknowledgement of this transaction. LIC will not, send any separate acknowledgement or receipt. This is a computer generated receipt and does not require physical signature. One97 Communications Ltd. 8-121, Sector 5,Noida,Uttar Pradesh-201301 GST No. : AAACO4007ASDO02 Payim

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