Collecting Branch : EPS1 Servicing Branch : LIC of India, Hyderabad City

LIC OF INDIA,HYDERABAD CITY

Transaction No : 2730244 BR NO-5/8-190 1ST FLOOR PAIGAH
Date ( Time): 26/08/2023 ( 01:13:44 ) HYDERABAD A P,500001 Email:
Receipt No : BO_643@LICINDIA.COM
PR0273011100013133
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ₹ 2,02,434.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Arun Kumar Talari

towards the following :

Policy No
Plan / Term Inst. Premium No Of Total Premium CGST Branch
Name
D.O.C. Mode Inst Due Late Fee SGST/UTGST Next Due
Revival
(Yes/No) Sum Assured From CD Charges Total Amt Reg. No.
Agency Code
(₹) Due To (₹) (₹)
648395191
178 / 78 2,02,434.00 2,02,434.00 0.00 643
Arun Kumar Talari
28/04/2012 HLY 1 0.00 0.00 12/24
No
03070643 12/21 0.00 2,02,434.00 36AAACL0582H1ZN
55,00,000
12/21
Page Total 2,02,434.00 2,02,434.00 0.00
(₹) 0.00 0.00
0.00 2,02,434.00

2,02,434.00 2,02,434.00 0.00

Grand Total 0.00 0.00
(₹)
0.00 2,02,434.00

GST borne by LIC of India ₹ 3429.6

TWO LAKH TWO THOUSAND FOUR HUNDRED THIRTY FOUR RUPEES AND ZERO PAISE ONLY

Arun Kumar Talari

H.No: 4-1/2/402, Consolidated Stamp Duty Paid
sai baba nagar, CSD/113/2020/1936 DTD. 18.09.2020
Kalimandir,Hyderabad.

500086 Payment Acknowledgement generated through

Mobile: 97******07 Online Portal on 26-Aug-23 Time : 01:14:53.
Email: ar********07@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!