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Collecting Branch : EPS1 Servicing Branch : 88A

E-mail : bo_eps1@licindia.com UC of lndia,Mulund Branch Office 88A


Phone :+91-022-1251 Dhanama Bhavan
Netaji Subhash Road.
Transaction No.: PR015307860001 Mulund(W) Mumbai
1213 Mulund(W)
Maharashtra 400080
Date ( Time ): 25/10/2021 ( 20:36:52 )
RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 70,000 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sri Jagdish Saini

Towards the following

Pol cy Plan Inst. Prem(Rs) No Of Total Premium Branch


No Name Term Mode Inst Late Fee Next Due
Agency Code D.O.C. Sum Assured Due Total Amt
881012283 107 70,000 Fr 70,000.00
J 0 88A
Singh 20 Yearly 0
0025988F 22/10/2010 20,00,000.00 0 70,000.00 10/21

Grand Total (Rs)


70,000.00

RUPEES SEVENTY THOUSAND ONLY

Sri Jagdish Saini


Khanna Apts, B Wing-
301, Asalfa Village,
Ghatkopar , Mumbai
400084

This receipt is electronically generated and is digitally


signed.

Signature No·fied
kEt.
Digitally signed by VARSHNEY
Date: March 25, 2021 20:36:52
Reason: Premium Re1Pt
Location: LIC OF INDIA-'

Zindagi Ke Saath Bhi,Zindagi Ke Baad


Bhi
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