Collecting Center : A002 Branch Code : 68E

LIC of India,
Transaction No. : 30414182 Bellampally Branch Office
Iind Floor Radha Complex.
Date ( Time ): 23/06/2020 ( 14:37:22 ) Bellampalli, 504251
email: bo_68E@licindia.com
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 4,274.00 from policyholder Shri/Smt.Nanaji Satputhe

towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch

Name Term Mode Due Fr Late Fee SGST*/UTGST Next Due
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Reg. No.
(Yes/No) Xcharge
607137432 827 4,068.00 1 4,068.00 54.46 68E
Nanaji S 16 YLY 03/20 96.60 54.46 03/21
Yes 12/03/2018 80,000.00 03/20 0.00 + 0.00 4,273.52 36AAACL0582H1ZN
Page Total (Rs) 4,068.00 4,068.00 54.46
96.60 54.46
0.00 4,273.52
Grand Total (Rs) 4,068.00 4,068.00 54.46
96.60 54.46
0.00 4,273.52

RUPEES FOUR THOUSAND TWO HUNDRED SEVENTY-FOUR ONLY

Paid by Cash/Card/Sr :4,273.52
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Nanaji Satputhe Consolidated Stamp Duty Paid

S/O Gangaram Satputhe, Hno 2-75/3
Govindapur
Mdl Dist Asifabadkumrambheem-T.S For Life Insurance Corporation of India,
504293. Singam Narsaiah(675170)
Mobile:

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 0.00

Har Pal Aapke Sath!!