mamtakumarip

ihoo@gmail.co

351445997_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Muzaffarpur
LIC OF INDIA, BRANCH OFFICE - 531
Transaction No : 978461
NEAR DEVI MANDIR,,UMASHANKAR
Date ( Time ): 09/04/2023 ( 14:01:58 ) MUZAFFARPUR,842061
Email: BO_531@LICINDIA.COM
Receipt No : PR0097846100012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,038.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Mamta Kumari

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) (`) (`) (`)
351445997 14 / 15 3,038.00 1 3,038.00 0.00 531
Mamta Kumari 27/11/2013 MLY 03/23 0.00 0.00 04/23
No 03/23 0.00 3,038.00 10AAACL0582H2Z0
01654206 5,00,000

Page Total (`) 3,038.00 3,038.00 0.00

0.00 0.00
0.00 3,038.00
Grand Total (`) 3,038.00 3,038.00 0.00
0.00 0.00
0.00 3,038.00

GST borne by LIC of India ` 68.36

THREE THOUSAND THIRTY EIGHT RUPEES AND ZERO PAISE ONLY

Mamta Kumari
W/O Nilesh Kumar
Yadav Tola, Po Budda Nagar
Saurh,Khagaria.

853203 Payment Acknowledgement generated through

Online Portal on 09-Apr-23 Time : 14:04:15.
Mobile: 91******18
Email: ma********oo@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!