Servicing Branch : 64E

PEDDAPALLI
LIC OF INDIA,PEDDAPALLY BRANCH
OFFICE
2/1/12/A PRAGATHINAGAR.
Collecting Branch : PCMC PEDDAPALLY
Call Center (24X7) : 022 6827 6827 AP
Transaction no. : 1270548 PIN:505172 Phone:
Date : 22/05/2020 Email: bo_64E@licindia.com

RENEWAL PREMIUM ACKNOWLEDGEMENT

Received with thanks Rs. 4006.16 throughEBPP (Bill-pay)

from Smt/Shri/Ms RAMYA
towards the following
Policy Number 808019697 Premium Due From 4/2020
Instalment Premium 3918.00 Premium Due Upto 4/2020
Premium Mode Half-Yearly No. of Instalments 1
Plan, Term & PPT 815/18/18 Premium 3918.00
Date of Commence. 21/10/2017 Late Fee 0.00
Sum Assured 120000 CGST/SGST/UTGST 88.16
Next Premium Due on 21/10/2020
Total 4006.16

PACHADALA RAMYA
W/O, SHIVAKUMAR,HNO,6-130/1,
PO&MDL,SULTHANABAD,
DIST,PEDDAPALLY
PIN Code: 505185

This receipt is electronically generated

Mudrank: CSD/328/2019/646/19 dtd.15/02/2019

Kindly register your mobile no. for receiving your policy related information.
For SMS helpline, type LICHELP <policy-no> and send to 92224 92224

Har Pal Aapke Saath