Collecting Branch : EPS1 Servicing Branch : LIC of India, Madhubani Br

SURYAKALA BHAWAN, R.K.COLLEGE

Transaction No : 826330
SAPTA MADHUBANI,,DIST
Date ( Time ): 07/04/2020 ( 17:14:10 ) Madhubani,847213
bo_eps1@licindia.com
Receipt No : PR0082633000012021
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,061.21 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Bishnu Deo Thakur

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.
(`) (`) (`)
538733957 107 5,950.00 1 5,950.00 8.48 542
Bishnu Deo 20 QLY 02/20 94.25 8.48 05/20
02846542 17/11/2009 02/20 0.00 6,061.21 10AAACL0582H2Z0
2,00,000

Page Total (`) 5,950.00 5,950.00 8.48

94.25 8.48
0.00 6,061.21
Grand Total (`) 5,950.00 5,950.00 8.48
94.25 8.48
0.00 6,061.21

GST borne by LIC of India ` 133.88

SIX THOUSAND SIXTY ONE RUPEES AND TWENTY ONE PAISE ONLY

Bishnu Deo Thakur

Consolidated Stamp Duty Paid
S/O Raj Banshi,Thakur
Vill/P.O-Sakri Purana Bazar CSD/323/2020/802/2020 DTD.20/02/2020
Dist Madhubani

800000 Payment Acknowledgement generated through

Online Portal on 07-Apr-20 Time : 17:15:36.
Mobile: 7277785382
Email: shashithakur39@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!