hariramjani12

103137574_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, City Br Office III
LIC OF INDIA, BRANCH OFFICE - 154
Transaction No : 29708397
JEEVAN RAKSHA,,SECTOR-12,
Date ( Time ): 27/12/2023 ( 10:20:49 ) JODHPUR, RAJASTHAN.,342001
Email: BO_154@LICINDIA.COM
Receipt No : PR2970839700012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,077.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sugani
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) (`) (`) (`)
103137574 179 / 20 2,077.00 1 2,077.00 0.00 154
Sugani 28/06/2006 HLY 12/23 0.00 0.00 06/24
No 12/23 0.00 2,077.00 08AAACL0582H2ZL
01217154 1,00,000

Page Total (`) 2,077.00 2,077.00 0.00

0.00 0.00
0.00 2,077.00
Grand Total (`) 2,077.00 2,077.00 0.00
0.00 0.00
0.00 2,077.00

GST borne by LIC of India ` 46.74

TWO THOUSAND SEVENTY SEVEN RUPEES AND ZERO PAISE ONLY

Sugani
W/O Hari Ram Jani
Laduro Ki Dhani,Po-Bhojakor
Via-Peelwa,Dist-Jodhpur

342309 Payment Acknowledgement generated through

Online Portal on 27-Dec-23 Time : 10:24:37.
Mobile: 99******94
Email: ha********12@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!