443837138_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Lake Town

LIC OF INDIA,LAKE TOWN BRANCH
Transaction No : 23274845
342,JESSORE ROAD.,CALCUTTA
Date ( Time ): 20/10/2021 ( 11:53:43 ) ,700089
Email: BO_424@LICINDIA.COM
Receipt No : PR2327484500012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 9,971.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Amit Kumar Bagchi

towards the following :

Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
Revival Sum Assured Due To CD Charges Total Amt Reg. No.
Agency Code
(Yes/No) (`) (`) (`)
443837138 855 / 10 8,450.00 1 8,450.00 760.50 424
Amit Kumar 15/10/2020 YLY 10/21 0.00 760.50 10/22
No 10/21 0.00 9,971.00 19AAACL0582H1ZJ
00110424 25,00,000

Page Total (`) 8,450.00 8,450.00 760.50

0.00 760.50
0.00 9,971.00
Grand Total (`) 8,450.00 8,450.00 760.50
0.00 760.50
0.00 9,971.00

NINE THOUSAND NINE HUNDRED SEVENTY ONE RUPEES AND ZERO PAISE ONLY

Amit Kumar Bagchi

Consolidated Stamp Duty Paid
35 Jatia Bakul Tala , Po - Jatia,
24 Pgs N , CSD/70/2021/2092 DATED - 24.06.2021

743135 Payment Acknowledgement generated through

Online Portal on 20-Oct-21 Time : 12:01:09.
Mobile: 90******06
Email: am********hi@yahoo.co.in
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!