Collecting Branch : EPS1 Servicing Branch : LIC of India, Basti Branch

Malviya Road Gandhi Nagar.

Transaction No : 770442
Basti,
Date ( Time ): 09/04/2019 ( 22:19:11 ) Basti,0
bo_eps1@licindia.com
Receipt No : PR0077044200011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 24,889.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Amandeep Singh

towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
294568555 149 24,889.00 1 24,889.00 0.00 283
Aman Deep 73 YLY 03/19 0.00 0.00 03/20
04522283 24/03/2008 5,00,000 03/19 0.00 24,889.00

Page Total (`) 24,889.00 24,889.00 0.00

0.00 0.00
0.00 24,889.00
Grand Total (`) 24,889.00 24,889.00 0.00
0.00 0.00
0.00 24,889.00

GST borne by LIC of India ` 560.00

TWENTY FOUR THOUSAND EIGHT HUNDRED EIGHTY NINE RUPEES AND ZERO PAISE ONLY

Amandeep Singh
Consolidated Stamp Duty Paid
CSD/328/2019/646/19 DTD.15/02/2019

Payment Acknowledgement generated through

Online Portal on 09-Apr-19 Time : 22:30:47.
Mobile: 9911449395
Email: amanchabbra@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!