Collecting Center : A001 Branch Code : 748

LIC of India, Madurai Br Office No-I

Transaction No. : 14271093 L I C OF INDIA
POST BOX NO.26
Date ( Time ): 28/03/2024 ( 19:56:39 ) MADURAI, 625001
email: BO_748@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 1,037.00 from policyholder Shri/Smt.J.Guna

towards the following policy/ies

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
Name Term Mode Due Fr Late Fee SGST*/UTGST Code
Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
(Yes/No) Xcharge Reg. No.
326965796 936 984.00 1 984.00 22.84 748 |09362748
Guna J 25 MLY 03/24 7.80 22.84 04/24
Yes 06/11/2023 2,50,000.00 03/24 0.00 + 0.00 1,037.48 33AAACL0582H1ZT
Page Total (Rs) 984.00 984.00 22.84
7.80 22.84
0.00 1,037.48
Grand Total (Rs) 984.00 984.00 22.84
7.80 22.84
0.00 1,037.48

RUPEES ONE THOUSAND THIRTY-SEVEN ONLY

Paid by Cash/Card/SR :1,037.48
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

J.Guna
Nayakkar Street,Soolapuram
Peraiyur Tk,Madurai
Tamilnadu For Life Insurance Corporation of India,
625535. R.Vasimalai(01714668)
Mobile:

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!