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.29AAACL0582H2ZH

Receipt No:9001785 Order Id:HGA1P13D6A0049649588 Name:Vybhav K P

Policy Number:725638986 Date:03-03-2020 12:20:28 Amount:19577.86

Policy Details
Servicing LIC Branch Code 619

Instalment Premium 9479.0

Mode / Number Of Instalments Quarterly / 2

Due from - Due To 28/09/2019 - 28/12/2019

Total Premium 18958.0

CDA Charges 0.0

Late Fee 525.3

SGST / UTGST 47.28

CGST 47.28

Next Due 28/03/2020

Grand Total 19577.86

Mudrank Number CSD/328/2019/646/19

** GST borne by LIC of India is Rs.426.56

This receipt is electronically generated and no signature is required.