Collecting Center : A001 Branch Code : 26R

LIC of India, Firozabad Branch II

Transaction No. : 12611689 LIC OF INDIA,FIROZABAD BRANCH II
SUHAG NAGAR.
Date ( Time ): 26/03/2024 ( 10:06:24 ) ,0
email: BO_26R@LICINDIA.COM
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 4,036.00 from policyholder Shri/Smt.Sanju Devi

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.
266885329 833 3,947.00 1 3,947.00 44.40 26R |0358126R
Sd 21 HLY 03/24 0.00 44.40 09/24
No 28/03/2018 1,40,000.00 03/24 0.00 + 0.00 4,035.80 09AAACL0582HFZ6
Page Total (Rs) 3,947.00 3,947.00 44.40
0.00 44.40
0.00 4,035.80
Grand Total (Rs) 3,947.00 3,947.00 44.40
0.00 44.40
0.00 4,035.80

RUPEES FOUR THOUSAND THIRTY-SIX ONLY

Paid by Cash/Card/SR :4,036.00
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Sanju Devi
W/O Sri Bablu
Near Old Hansvahini School
Humaunpur Firozabad For Life Insurance Corporation of India,
283203. Smt Soni Jain(0332326R)
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!!