Collecting Branch : EPS1 Servicing Branch : LIC of India, Zaheerabad Br

Main Road.
Transaction No : 29193116
Zaheerabad,
Date ( Time ): 06/12/2020 ( 18:16:37 ) Zahirabad,0
Email: bo_eps1@licindia.com
Receipt No : PR2919311600022021
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 23,834.31 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Rajkumar Patil

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) (`) (`) (`)
606010360 815 / 25 22,488.00 1 22,488.00 317.08 60C
Rajkumar.Patil 13/02/2014 HLY 08/20 712.15 317.08 02/21
Yes 08/20 0.00 23,834.31 36AAACL0582H1ZN
0073460C 10,00,000

Page Total (`) 22,488.00 22,488.00 317.08

712.15 317.08
0.00 23,834.31
Grand Total (`) 22,488.00 22,488.00 317.08
712.15 317.08
0.00 23,834.31

TWENTY THREE THOUSAND EIGHT HUNDRED THIRTY FOUR RUPEES AND THIRTY ONE PAISE
ONLY

Rajkumar Patil
Consolidated Stamp Duty Paid
1-42/1,Potapalli
Man Kangti Post Naganpally CSD/113/2020/1936 DTD. 18.09.2020
Dist Medak

502287 Payment Acknowledgement generated through

Online Portal on 06-Dec-20 Time : 18:18:32.
Mobile: 99******05
Email: ra********29@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 Collecting Branch : EPS1 Servicing Branch : LIC of India, Hyderabad- Bhel
22-95-1,Jaya complex,Kunukuntla,Near
Transaction No : 29193116
RC Puram,,Hyderabad
Date ( Time ): 06/12/2020 ( 18:16:37 ) Hyderabad,500050
Email: bo_eps1@licindia.com
Receipt No : PR2919311600022021
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,752.20 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Rajkumar Patil

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) (`) (`) (`)
600663012 178 / 76 7,610.00 1 7,610.00 10.85 73H
Rajkumar Patil 18/04/2006 HLY 10/20 120.50 10.85 04/21
Yes 10/20 0.00 7,752.20 36AAACL0582H1ZN
0067473H 3,00,000

Page Total (`) 7,610.00 7,610.00 10.85

120.50 10.85
0.00 7,752.20
Grand Total (`) 7,610.00 7,610.00 10.85
120.50 10.85
0.00 7,752.20

GST borne by LIC of India ` 171.22

SEVEN THOUSAND SEVEN HUNDRED FIFTY TWO RUPEES AND TWENTY PAISE ONLY

Rajkumar Patil
Consolidated Stamp Duty Paid
1-42/1,Potapalli
Man Kangti Post Naganpally CSD/113/2020/1936 DTD. 18.09.2020
Dist Medak

502287 Payment Acknowledgement generated through

Online Portal on 06-Dec-20 Time : 18:18:32.
Mobile: 99******05
Email: ra********29@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!