laxmibarua72

997292755_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Naihati Branch
LIC OF INDIA,NAIHATI BRANCH
Transaction No : 28764135
48 ARBINDA SARANI.,NAIHATI 24
Date ( Time ): 18/12/2022 ( 06:25:17 ) ,743165
Email: BO_435@LICINDIA.COM
Receipt No : PR2876413500012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,697.22 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
997292755 836 / 16 3,675.00 2 7,350.00 96.56 435
Laxmi Barua 11/03/2016 MLY 11/22 29.10 96.56 01/23
Yes 12/22 125.00 7,697.22 19AAACL0582H1ZJ
03662435 5,00,000

Page Total (`) 3,675.00 7,350.00 96.56

29.10 96.56
125.00 7,697.22
Grand Total (`) 3,675.00 7,350.00 96.56
29.10 96.56
125.00 7,697.22

SEVEN THOUSAND SIX HUNDRED NINETY SEVEN RUPEES AND TWENTY TWO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 laxmibarua72

997292755_2
Collecting Branch : EPS1 Servicing Branch : LIC of India, Naihati Branch
LIC OF INDIA,NAIHATI BRANCH
Transaction No : 16759918
48 ARBINDA SARANI.,NAIHATI 24
Date ( Time ): 31/08/2022 ( 09:55:27 ) ,743165
Email: BO_435@LICINDIA.COM
Receipt No : PR1675991800012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,688.62 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
997292755 836 / 16 3,675.00 2 7,350.00 95.90 435
Laxmi Barua 11/03/2016 MLY 08/22 21.82 95.90 10/22
Yes 09/22 125.00 7,688.62 19AAACL0582H1ZJ
03662435 5,00,000

Page Total (`) 3,675.00 7,350.00 95.90

21.82 95.90
125.00 7,688.62
Grand Total (`) 3,675.00 7,350.00 95.90
21.82 95.90
125.00 7,688.62

Late Fee Waived : ` 7.28

SEVEN THOUSAND SIX HUNDRED EIGHTY EIGHT RUPEES AND SIXTY TWO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 laxmibarua72

423757540_3
Collecting Branch : EPS1 Servicing Branch : LIC of India, Barrackpore
LIC OF INDIA,BARRACKPORE
Transaction No : 9946803
UDAYAN SHAHID MANGAL PANDEY
Date ( Time ): 30/06/2022 ( 16:19:55 ) ,743101
Email: BO_431@LICINDIA.COM
Receipt No : PR0994680300022223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 615.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
423757540 14 / 21 615.00 1 615.00 0.00 431
Laxmi Barua 28/04/2003 QLY 07/22 0.00 0.00 10/22
No 07/22 0.00 615.00 19AAACL0582H1ZJ
06634431 51,000.00

Page Total (`) 615.00 615.00 0.00

0.00 0.00
0.00 615.00
Grand Total (`) 615.00 615.00 0.00
0.00 0.00
0.00 615.00

GST borne by LIC of India ` 13.84

SIX HUNDRED FIFTEEN RUPEES AND ZERO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 laxmibarua72

997292755_4
Collecting Branch : EPS1 Servicing Branch : LIC of India, Naihati Branch
LIC OF INDIA,NAIHATI BRANCH
Transaction No : 9946803
48 ARBINDA SARANI.,NAIHATI 24
Date ( Time ): 30/06/2022 ( 16:19:55 ) ,743165
Email: BO_435@LICINDIA.COM
Receipt No : PR0994680300022223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,697.22 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
997292755 836 / 16 3,675.00 2 7,350.00 96.56 435
Laxmi Barua 11/03/2016 MLY 06/22 29.10 96.56 08/22
Yes 07/22 125.00 7,697.22 19AAACL0582H1ZJ
03662435 5,00,000

Page Total (`) 3,675.00 7,350.00 96.56

29.10 96.56
125.00 7,697.22
Grand Total (`) 3,675.00 7,350.00 96.56
29.10 96.56
125.00 7,697.22

SEVEN THOUSAND SIX HUNDRED NINETY SEVEN RUPEES AND TWENTY TWO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 laxmibarua72

423757540_5
Collecting Branch : EPS1 Servicing Branch : LIC of India, Barrackpore
LIC OF INDIA,BARRACKPORE
Transaction No : 4462709
UDAYAN SHAHID MANGAL PANDEY
Date ( Time ): 09/05/2022 ( 09:52:24 ) ,743101
Email: BO_431@LICINDIA.COM
Receipt No : PR0446270900022223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 615.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
423757540 14 / 21 615.00 1 615.00 0.00 431
Laxmi Barua 28/04/2003 QLY 04/22 0.00 0.00 07/22
No 04/22 0.00 615.00 19AAACL0582H1ZJ
06634431 51,000.00

Page Total (`) 615.00 615.00 0.00

0.00 0.00
0.00 615.00
Grand Total (`) 615.00 615.00 0.00
0.00 0.00
0.00 615.00

GST borne by LIC of India ` 13.84

SIX HUNDRED FIFTEEN RUPEES AND ZERO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

 laxmibarua72

997292755_6
Collecting Branch : EPS1 Servicing Branch : LIC of India, Naihati Branch
LIC OF INDIA,NAIHATI BRANCH
Transaction No : 4462709
48 ARBINDA SARANI.,NAIHATI 24
Date ( Time ): 09/05/2022 ( 09:52:24 ) ,743165
Email: BO_435@LICINDIA.COM
Receipt No : PR0446270900022223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 7,697.22 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Barua L
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) (`) (`) (`)
997292755 836 / 16 3,675.00 2 7,350.00 96.56 435
Laxmi Barua 11/03/2016 MLY 04/22 29.10 96.56 06/22
Yes 05/22 125.00 7,697.22 19AAACL0582H1ZJ
03662435 5,00,000

Page Total (`) 3,675.00 7,350.00 96.56

29.10 96.56
125.00 7,697.22
Grand Total (`) 3,675.00 7,350.00 96.56
29.10 96.56
125.00 7,697.22

SEVEN THOUSAND SIX HUNDRED NINETY SEVEN RUPEES AND TWENTY TWO PAISE ONLY

Barua L
20 East Kapta Para Road
Desh Bandhu Nagar
Po-Shyamnagar, Dt-24-Pgs N

743127 Payment Acknowledgement generated through

Online Portal on 18-Dec-22 Time : 06:27:50.
Mobile: 98******52
Email: la********72@hotmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!