minaksheevais

hnav94@gmail

Collecting Branch : EPS1 Servicing Branch : LIC of India, Indore Cb 1

LIC OF INDIA,INDORE CBO-1
Transaction No : 37455645
19,MAHATMA GANDHI
Date ( Time ): 25/02/2022 ( 15:06:48 ) M P,452001
Email: BO_343@LICINDIA.COM
Receipt No : PR3745564500012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 59,851.76 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Minakshee Vaishnav

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) (`) (`) (`)
368528774 915 / 16 58,110.00 1 58,110.00 686.86 343
Minakshee 25/01/2021 YLY 01/22 368.04 686.86 01/23
Yes 01/22 0.00 59,851.76 23AAACL0582H2ZT
05886343 8,00,000

Page Total (`) 58,110.00 58,110.00 686.86

368.04 686.86
0.00 59,851.76
Grand Total (`) 58,110.00 58,110.00 686.86
368.04 686.86
0.00 59,851.76

Late Fee Waived : ` 92.01

FIFTY NINE THOUSAND EIGHT HUNDRED FIFTY ONE RUPEES AND SEVENTY SIX PAISE ONLY

Minakshee Vaishnav
Consolidated Stamp Duty Paid
81/11,Nanda Nagar
Indore CSD/70/2021/2092 DATED - 24.06.2021

452011 Payment Acknowledgement generated through

Online Portal on 25-Feb-22 Time : 15:08:17.
Mobile: 81******59
Email: mi********94@gmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!