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    PaymentReceipt 14987623

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    relevelmarket
    Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

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    PaymentReceipt 14987623

    Uploaded by

    relevelmarket
    17 views1 page
    Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

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    Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views1 page

    PaymentReceipt 14987623

    Uploaded by

    relevelmarket
    Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    101bhagirath1

    [email protected]

    109139741_1
    Collecting Branch : EPS1 Servicing Branch : LIC of India, Jodhpaur CAB
    LIC OF INDIA, BRANCH OFFICE - 18E
    Transaction No : 14987623
    CAB BRANCH, JEEVAN JYOTI,,NEAR
    Date ( Time ): 20/08/2023 ( 10:09:17 ) JODHPUR,342003
    Email: [email protected]
    Receipt No : PR1498762300012324
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 3,608.76 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Bhanwari Devi


    towards the following :

    Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
    Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
    Revival Sum Assured Due To CD Charges Total Amt Reg. No.
    Agency Code
    (Yes/No) (`) (`) (`)
    109139741 827 / 20 1,733.00 2 3,466.00 43.93 18E
    Bhanwari 22/10/2014 QLY 04/23 54.90 43.93 10/23
    Yes 07/23 0.00 3,608.76 08AAACL0582H2ZL
    0158618E 75,000.00

    Page Total (`) 1,733.00 3,466.00 43.93


    54.90 43.93
    0.00 3,608.76
    Grand Total (`) 1,733.00 3,466.00 43.93
    54.90 43.93
    0.00 3,608.76

    THREE THOUSAND SIX HUNDRED EIGHT RUPEES AND SEVENTY SIX PAISE ONLY

    Bhanwari Devi
    W/O Sh Mohan Ram Choudhary
    208,Mulaniyon Ki Dhani,Beradon
    Ka Bas,Teh-Osian,Dt-Jodhpur Raj

    342306 Payment Acknowledgement generated through


    Online Portal on 20-Aug-23 Time : 10:10:39.
    Mobile: 86******83
    Email: 10********[email protected]
    For Payment related queries-Email: [email protected]

    This receipt is electronically generated and no signature is required.

    Har Pal Aapke Saath!

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