Collecting Center : A001 Branch Code : 64K

LIC of India, Hyderabad City Branch Office-9

Transaction No. : 66448145 16-2-677/2 and 2/1 II and III floors
judges colony,Malakpet
Date ( Time ): 10/10/2019 ( 10:32:10 ) Hyderabad, 500036
email: bo_64K@licindia.com
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 65,646.00 from policyholder Shri/Smt.P Varun

towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax Branch
Name Term Mode Due Fr Late Fee Edu. Cess Next Due
Agency Code D.O.C. Sum Assured Due To Total Amt
665825267 75 41,641.00 1 41,641.00 0.00 64K
Varun P 20 YLY 10/19 0.00 0.00 10/19
0120464K 01/10/2014 15,00,000.00 10/19 41,641.00
624484442 149 24,005.00 1 24,005.00 0.00 64K
Varun P 74 YLY 10/19 0.00 0.00 10/19
0120464K 01/10/2014 5,00,000.00 10/19 24,005.00
Page Total (Rs) 65,646.00 65,646.00 0.00
0.00 0.00
65,646.00
Grand Total (Rs) 65,646.00 65,646.00 0.00
0.00 0.00
65,646.00

RUPEES SIXTY-FIVE THOUSAND SIX HUNDRED FOURTY-SIX ONLY

Paid by Cash :0.00
Paid by Cheque :65,646.00
Cheque No :256389
Cheque Date :10/10/2019

P Varun Consolidated Stamp Duty Paid

12-11-750,Warasiguda, Mudrank : A.Mu.Sh.2015/CR 242/M-1 Dated 15/05/2017
Secunderabad.
500016.
Mobile: 9966188803 For Life Insurance Corporation of India,
Email:varunpokkula@gmail.com Sri Tv Narsing Rao(15111800)

This receipt is subject to realisation of cheque amount.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi