839892134_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Jadavpore Branch

LIC OF INDIA,JADAVPORE BRANCH
Transaction No : 24911395
27-G RAJA,S C MULLICK
Date ( Time ): 06/11/2021 ( 23:20:29 ) ,700032
Email: BO_400@LICINDIA.COM
Receipt No : PR2491139500012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 8,446.09 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Saikat Das La

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) (`) (`) (`)
839892134 834 / 23 8,112.00 1 8,112.00 102.82 400
Saikat Das La 12/09/2016 HLY 09/21 128.45 102.82 03/22
Yes 09/21 0.00 8,446.09 19AAACL0582H1ZJ
12836400 3,00,000

Page Total (`) 8,112.00 8,112.00 102.82

128.45 102.82
0.00 8,446.09
Grand Total (`) 8,112.00 8,112.00 102.82
128.45 102.82
0.00 8,446.09

EIGHT THOUSAND FOUR HUNDRED FORTY SIX RUPEES AND NINE PAISE ONLY

Saikat Das La
Consolidated Stamp Duty Paid
Sakti Chandra Das P
78/1,Ajaynagar 2nd Road CSD/70/2021/2092 DATED - 24.06.2021
Kolkata-75

700075 Payment Acknowledgement generated through

Online Portal on 06-Nov-21 Time : 23:23:05.
Mobile: 98******87
Email: m.********94@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!