Collecting Center : A001 Branch Code : 748

LIC of India, Madurai Br Office No-I

Transaction No. : 11968956 L I C OF INDIA
POST BOX NO.26
Date ( Time ): 22/03/2024 ( 16:31:10 ) MADURAI, 625001
email: BO_748@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 519.00 from policyholder Shri/Smt.M.Pandi

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.
327780781 914 497.00 1 497.00 11.18 748 |09362748
Pandi M 20 MLY 03/24 0.00 11.18 04/24
No 28/12/2023 1,10,000.00 03/24 0.00 + 0.00 519.36 33AAACL0582H1ZT
Page Total (Rs) 497.00 497.00 11.18
0.00 11.18
0.00 519.36
Grand Total (Rs) 497.00 497.00 11.18
0.00 11.18
0.00 519.36

RUPEES FIVE HUNDRED NINETEEN ONLY

Paid by Cash/Card/SR :519.36
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

M.Pandi
5/263 West Street,Ulaipatti,Soolapuram,
Peraiyur-Tk
Madurai,Tamilnadu.India 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!!