pawankumarka

taria205@gmai

153002316_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Mandi Br Office
LIC OF INDIA,MANDI BR OFFICE
Transaction No : 31515722
JAGJIT COMPLEX PALACE
Date ( Time ): 07/01/2024 ( 12:14:11 ) H P,175001
Email: BO_167@LICINDIA.COM
Receipt No : PR3151572200012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,988.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pawan Kumar

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) (`) (`) (`)
153002316 179 / 20 1,988.00 1 1,988.00 0.00 167
Pawan Kumar 28/01/2008 HLY 01/24 0.00 0.00 07/24
No 01/24 0.00 1,988.00 02AAACL0582H1ZY
01373167 1,00,000

Page Total (`) 1,988.00 1,988.00 0.00

0.00 0.00
0.00 1,988.00
Grand Total (`) 1,988.00 1,988.00 0.00
0.00 0.00
0.00 1,988.00

GST borne by LIC of India ` 44.74

ONE THOUSAND NINE HUNDRED EIGHTY EIGHT RUPEES AND ZERO PAISE ONLY

Pawan Kumar
S/O Sh Dasondhi Ram
Vill Salhana Po Chukku
Teh Padhar Distt Mandi Hp.

176121 Payment Acknowledgement generated through

Online Portal on 08-Jan-24 Time : 17:04:42.
Mobile: 94******65
Email: pa********05@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!