amarjeet.ans.

si
nha@gmail.co

829799888_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Bihar Sharif
LIC OF INDIA,BIHAR SHARIF BRANCH
Transaction No : 950081
POST-BIHAR SHARIF,PATNA-
Date ( Time ): 09/04/2023 ( 09:27:10 ) ,803101
Email: BO_522@LICINDIA.COM
Receipt No : PR0095008100012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 10,256.70 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Amarjeet Sinha

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) (`) (`) (`)
829799888 945 / 78 10,031.00 1 10,031.00 112.85 522
Amarjeet Sinha 14/03/2022 MLY 04/23 0.00 112.85 05/23
No 04/23 0.00 10,256.70 10AAACL0582H2Z0
08685522 15,00,000

Page Total (`) 10,031.00 10,031.00 112.85

0.00 112.85
0.00 10,256.70
Grand Total (`) 10,031.00 10,031.00 112.85
0.00 112.85
0.00 10,256.70

TEN THOUSAND TWO HUNDRED FIFTY SIX RUPEES AND SEVENTY PAISE ONLY

Amarjeet Sinha
S/O Arun Kumar Sinha
Sadar Gali Banwari Tola Kashmiri Kothi
Yateem Khan Sampatchak Patna

800008 Payment Acknowledgement generated through

Online Portal on 09-Apr-23 Time : 09:28:24.
Mobile: 98******02
Email: am********ha@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!