kradel.k.

basu

484050548_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Maligaon Branch
LIC OF INDIA,MALIGAON BRANCH
Transaction No : 14879389
MALIGAON CHARIALI.,MALIGAON
Date ( Time ): 18/08/2023 ( 22:58:32 ) GUWAHATI ASSAM,781011
Email: BO_48C@LICINDIA.COM
Receipt No : PR1487938900012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 343.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Kaustubh Basu

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) (`) (`) (`)
484050548 14 / 35 343.00 1 343.00 0.00 48C
Kaustubh Basu 28/08/2006 QLY 08/23 0.00 0.00 11/23
No 08/23 0.00 343.00 18AAACL0582H1ZL
0139948C 50,000.00

Page Total (`) 343.00 343.00 0.00

0.00 0.00
0.00 343.00
Grand Total (`) 343.00 343.00 0.00
0.00 0.00
0.00 343.00

GST borne by LIC of India ` 7.72

THREE HUNDRED FORTY THREE RUPEES AND ZERO PAISE ONLY

Kaustubh Basu
Sri Palash Basu P
246/A,East Maligaon
Maligaon,Guwahati-11

781011 Payment Acknowledgement generated through

Online Portal on 18-Aug-23 Time : 23:00:10.
Mobile: 89******30
Email: kr********su@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!