meghanianita7

9@gmail.com

We observe

Collecting Branch : EPS1 Servicing Branch : LIC of India, Borivli (W) 91V
LIC OF INDIA,BORIVLI (W) 91V
Transaction No : 33711613
1ST FLOOR, J B NAGAR SHOPPING
Date ( Time ): 25/01/2023 ( 14:53:46 ) BORIVLI(W), MUMBAI,400103
Email: BO_91V@LICINDIA.COM
Receipt No : PR3371161300012223
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 10,275.44 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Anita Meghani

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) (`) (`) (`)
895948315 823 / 23 8,708.00 1 8,708.00 783.72 91V
Anita Meghani 25/01/2016 YLY 01/23 0.00 783.72 01/24
No 01/23 0.00 10,275.44 27AAACL0582H1ZM
0134391V 28,00,000

Page Total (`) 8,708.00 8,708.00 783.72

0.00 783.72
0.00 10,275.44
Grand Total (`) 8,708.00 8,708.00 783.72
0.00 783.72
0.00 10,275.44

TEN THOUSAND TWO HUNDRED SEVENTY FIVE RUPEES AND FORTY FOUR PAISE ONLY

Anita Meghani
Consolidated Stamp Duty Paid
12-D-504, Spring Leaf Lokhandwala
Township, Kandivli E LOA/CSD/526/4822 DTD- 14.11.2022 valid from 16.12.2022 to
Mumbai

400101 Payment Acknowledgement generated through

Online Portal on 25-Jan-23 Time : 14:56:12.
Mobile: 90******79
Email: me********79@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!