pkchauhan.

pla
sma@gmail.co

240636557_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Rampur Branch
LIC OF INDIA,RAMPUR BRANCH
Transaction No : 31008551
NEAR ROADWAYS.,RAMPUR U P
Date ( Time ): 03/01/2023 ( 17:46:36 ) ,244901
Email: BO_269@LICINDIA.COM
Receipt No : PR3100855100032223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,719.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pradeep Kumar

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) (`) (`) (`)
240636557 91 / 25 7,719.00 1 7,719.00 0.00 269
Sri Pradeep YLY 12/22 0.00 0.00 12/23
No 12/22 0.00 7,719.00 09AAACL0582HFZ6
05075269 2,00,000

Page Total (`) 7,719.00 7,719.00 0.00

0.00 0.00
0.00 7,719.00
Grand Total (`) 7,719.00 7,719.00 0.00
0.00 0.00
0.00 7,719.00

GST borne by LIC of India ` 173.68

SEVEN THOUSAND SEVEN HUNDRED NINETEEN RUPEES AND ZERO PAISE ONLY

Pradeep Kumar
Janta Inter College
Mukerpuri,Bijnor,
Bijnor

246701 Payment Acknowledgement generated through

Online Portal on 09-Feb-23 Time : 23:37:48.
Mobile: 95******02
Email: pk********ma@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!

 pkchauhan.pla
sma@gmail.co

240651001_2
Collecting Branch : EPS1 Servicing Branch : LIC of India, Rampur Branch
LIC OF INDIA,RAMPUR BRANCH
Transaction No : 31008551
NEAR ROADWAYS.,RAMPUR U P
Date ( Time ): 03/01/2023 ( 17:46:36 ) ,244901
Email: BO_269@LICINDIA.COM
Receipt No : PR3100855100032223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,748.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pradeep Kumar

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) (`) (`) (`)
240651001 126 / 25 2,748.00 1 2,748.00 0.00 269
Pradeep Kumar 28/01/2002 YLY 01/23 0.00 0.00 01/24
No 01/23 0.00 2,748.00 09AAACL0582HFZ6
05075269 50,000.00

Page Total (`) 2,748.00 2,748.00 0.00

0.00 0.00
0.00 2,748.00
Grand Total (`) 2,748.00 2,748.00 0.00
0.00 0.00
0.00 2,748.00

GST borne by LIC of India ` 61.84

TWO THOUSAND SEVEN HUNDRED FORTY EIGHT RUPEES AND ZERO PAISE ONLY

Pradeep Kumar
Janta Inter College
Mukerpuri,Bijnor,
Bijnor

246701 Payment Acknowledgement generated through

Online Portal on 09-Feb-23 Time : 23:37:48.
Mobile: 95******02
Email: pk********ma@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!

 pkchauhan.pla
sma@gmail.co

240651007_3
Collecting Branch : EPS1 Servicing Branch : LIC of India, Rampur Branch
LIC OF INDIA,RAMPUR BRANCH
Transaction No : 31008551
NEAR ROADWAYS.,RAMPUR U P
Date ( Time ): 03/01/2023 ( 17:46:36 ) ,244901
Email: BO_269@LICINDIA.COM
Receipt No : PR3100855100032223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,748.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pradeep Kumar

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) (`) (`) (`)
240651007 126 / 25 2,748.00 1 2,748.00 0.00 269
Pradeep Kumar 28/12/2001 YLY 12/22 0.00 0.00 12/23
No 12/22 0.00 2,748.00 09AAACL0582HFZ6
05075269 50,000.00

Page Total (`) 2,748.00 2,748.00 0.00

0.00 0.00
0.00 2,748.00
Grand Total (`) 2,748.00 2,748.00 0.00
0.00 0.00
0.00 2,748.00

GST borne by LIC of India ` 61.84

TWO THOUSAND SEVEN HUNDRED FORTY EIGHT RUPEES AND ZERO PAISE ONLY

Pradeep Kumar
Janta Inter College
Mukerpuri,Bijnor,
Bijnor

246701 Payment Acknowledgement generated through

Online Portal on 09-Feb-23 Time : 23:37:48.
Mobile: 95******02
Email: pk********ma@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!

 pkchauhan.pla
sma@gmail.co

243074589_4
Collecting Branch : EPS1 Servicing Branch : LIC of India, Rampur Branch
LIC OF INDIA,RAMPUR BRANCH
Transaction No : 9848469
NEAR ROADWAYS.,RAMPUR U P
Date ( Time ): 29/06/2022 ( 20:25:53 ) ,244901
Email: BO_269@LICINDIA.COM
Receipt No : PR0984846900012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 20,297.90 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pradeep Kumar

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) (`) (`) (`)
243074589 807 / 25 19,495.00 1 19,495.00 247.10 269
Pradeep Kumar 04/05/2012 YLY 05/22 308.70 247.10 05/23
Yes 05/22 0.00 20,297.90 09AAACL0582HFZ6
02006392 5,70,000

Page Total (`) 19,495.00 19,495.00 247.10

308.70 247.10
0.00 20,297.90
Grand Total (`) 19,495.00 19,495.00 247.10
308.70 247.10
0.00 20,297.90

TWENTY THOUSAND TWO HUNDRED NINETY SEVEN RUPEES AND NINETY PAISE ONLY

Pradeep Kumar
S/O Late Sri Hori Singh
Moh- Chau Ki Basti Line Paar
Moradabad Up

244001 Payment Acknowledgement generated through

Online Portal on 09-Feb-23 Time : 23:37:48.
Mobile: 95******02
Email: pk********ma@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!