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Collecting Branch : EPS1 Servicing Branch : LIC of India, New Delhi Branch

31 Community Centre Friends Colony.


Transaction No : 22116125
New Delhi,
Date ( Time ): 01/01/2020 ( 09:29:11 ) Friends Colony,110065
bo_eps1@licindia.com
Receipt No : PR2211612500011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,194.64 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Subhendu Dey


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.
(`) (`) (`)
123037267 103 6,081.00 1 6,081.00 8.67 312
Subhendu Dey 18 HLY 10/19 96.30 8.67 04/20
00094312 28/04/2005 10/19 0.00 6,194.64 07AAACL0582H1ZO
2,00,000

Page Total (`) 6,081.00 6,081.00 8.67


96.30 8.67
0.00 6,194.64
Grand Total (`) 6,081.00 6,081.00 8.67
96.30 8.67
0.00 6,194.64

GST borne by LIC of India ` 136.82


SIX THOUSAND ONE HUNDRED NINETY FOUR RUPEES AND SIXTY FOUR PAISE ONLY

Subhendu Dey
Amrapali Grand Tower -7
Flat-502 Zeta-1 Greater Noida
Gautam Budh Nagar U P

201301 Payment Acknowledgement generated through


Online Portal on 01-Jan-20 Time : 09:30:33.
Mobile: 9811849002
Email: sdey.prem@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Collecting Branch : EPS1 Servicing Branch : LIC of India, New Delhi Branch
31 Community Centre Friends Colony.
Transaction No : 22115959
New Delhi,
Date ( Time ): 01/01/2020 ( 09:27:08 ) Friends Colony,110065
bo_eps1@licindia.com
Receipt No : PR2211595900011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,465.60 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Subhendu Dey


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.
(`) (`) (`)
123037290 174 3,402.00 1 3,402.00 4.85 312
Subhendu Dey 20 HLY 10/19 53.90 4.85 04/20
00094312 25/04/2005 10/19 0.00 3,465.60 07AAACL0582H1ZO
2,00,000

Page Total (`) 3,402.00 3,402.00 4.85


53.90 4.85
0.00 3,465.60
Grand Total (`) 3,402.00 3,402.00 4.85
53.90 4.85
0.00 3,465.60

GST borne by LIC of India ` 76.54


THREE THOUSAND FOUR HUNDRED SIXTY FIVE RUPEES AND SIXTY PAISE ONLY

Subhendu Dey
Amrapali Grand Tower -7
Flat-502 Zeta-1 Greater Noida
Gautam Budh Nagar U P

201301 Payment Acknowledgement generated through


Online Portal on 01-Jan-20 Time : 09:30:33.
Mobile: 9811849002
Email: sdey.prem@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Collecting Branch : EPS1 Servicing Branch : LIC of India, New Delhi Branch
31 Community Centre Friends Colony.
Transaction No : 2270689
New Delhi,
Date ( Time ): 01/05/2019 ( 13:10:14 ) Friends Colony,110065
bo_eps1@licindia.com
Receipt No : PR0227068900011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,081.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Subhendu Dey


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.
(`) (`) (`)
123037267 103 6,081.00 1 6,081.00 0.00 312
Subhendu Dey 18 HLY 04/19 0.00 0.0 10/19
00094312 28/04/2005 04/19 0.00 6,081.00 07AAACL0582H1ZO
2,00,000

Page Total (`) 6,081.00 6,081.00 0.00


0.00 0.00
0.00 6,081.00
Grand Total (`) 6,081.00 6,081.00 0.00
0.00 0.00
0.00 6,081.00

GST borne by LIC of India ` 136.82


SIX THOUSAND EIGHTY ONE RUPEES AND ZERO PAISE ONLY

Subhendu Dey
Amrapali Grand Tower -7
Flat-502 Zeta-1 Greater Noida
Gautam Budh Nagar U P

201301 Payment Acknowledgement generated through


Online Portal on 01-Jan-20 Time : 09:30:33.
Mobile: 9811849002
Email: sdey.prem@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Collecting Branch : EPS1 Servicing Branch : LIC of India, New Delhi Branch
31 Community Centre Friends Colony.
Transaction No : 2270501
New Delhi,
Date ( Time ): 01/05/2019 ( 13:08:20 ) Friends Colony,110065
bo_eps1@licindia.com
Receipt No : PR0227050100011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,402.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Subhendu Dey


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.
(`) (`) (`)
123037290 174 3,402.00 1 3,402.00 0.00 312
Subhendu Dey 20 HLY 04/19 0.00 0.0 10/19
00094312 25/04/2005 04/19 0.00 3,402.00 07AAACL0582H1ZO
2,00,000

Page Total (`) 3,402.00 3,402.00 0.00


0.00 0.00
0.00 3,402.00
Grand Total (`) 3,402.00 3,402.00 0.00
0.00 0.00
0.00 3,402.00

GST borne by LIC of India ` 76.54


THREE THOUSAND FOUR HUNDRED TWO RUPEES AND ZERO PAISE ONLY

Subhendu Dey
Amrapali Grand Tower -7
Flat-502 Zeta-1 Greater Noida
Gautam Budh Nagar U P

201301 Payment Acknowledgement generated through


Online Portal on 01-Jan-20 Time : 09:30:33.
Mobile: 9811849002
Email: sdey.prem@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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