Servicing Branch : 016N

LIC of India,Sec 2
Branch Office,
E-mail : bo_016n@licindia.com Panchkula

Transaction No. : PR0057949850872022

Date (Time): 18/06/2022 (12:08:26)

RENEWAL PREMIUM ACKNOWLEDGEMENT

Received with thanks Rs. 1,50,000.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri: Abhinav Sharma

Towards the following

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax

Name Term Mode Due Fr Late Fee Edu Cess Next Due
D.O.C. Sum Assured Due To Total Amt
18552631 165 1,50,000.00 1 1,50,000.00 0.00
Abhinav Sharma 5 YLY 06/21 0.00 0.00 06/20
20/06/2021 6,75,000.00 06/22 1,50,000.00
Page Total (Rs) 1,50,000.00 150,000.00 0.00
0.00 0.00
1,50,000.00
Grand Total (Rs) 1,50,000.00 1,50,000.00 0.00
0.00 0.00
1,50,000.00

ONE LAC FIFTY THOUSAND ONLY

Payment Acknowledgement generated through Online

Portal on 18-Jun-2022 Time: 12:08:26. Digitally Signed
Premium Receipt sent by email

This receipt is electronically generated.

Signature Not Verified

Digitally signed by Rekha Verma
Date: June 20, 2022 01:10:39 PM IST
Reason: Premium Receipt
Location: LIC OF INDIA

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