PrmPayRcpt 46303610

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Collecting Center : A001 Branch Code : 375

LIC of India, Jabalpur Cb I


Transaction No. : 46303610 LIC OF INDIA,JABALPUR BRANCH-1
CIVIC CENTRE
Date ( Time ): 26/08/2024 ( 16:41:31 ) JABALPUR [M P], 482002
email: [email protected]
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT (REVIVAL)

Received with thanks Rs. 3,243.00 from policyholder Shri/Smt.Sudhanshu Prasad L.A.
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.
356201267 102 1,556.00 2 3,112.00 9.98 375 |03615375
Prasad S 16 QLY 02/24 110.90 9.98 08/24
Yes-Revival 28/02/2012 1,00,000.00 05/24 0.00 + 0.00 3,242.86 23AAACL0582H2ZT
Page Total (Rs) 1,556.00 3,112.00 9.98
110.90 9.98
0.00 3,242.86
Grand Total (Rs) 1,556.00 3,112.00 9.98
110.90 9.98
0.00 3,242.86

RUPEES THREE THOUSAND TWO HUNDRED FORTY-THREE ONLY


Paid by Cash/Card/QR/SR :3,242.86
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Sudhanshu Prasad L.A.


C/O Sunita Devi Mehto
E-276, Sanjay Nagar,Near
Sanskar Media,Ranjhi,Jabalpur For Life Insurance Corporation of India,
400000. Shri Dayal Dulhani(03504375)
Mobile:

*SGST also includes cess amount of Rs. 0.00.


GST and Cess borne by LIC of India is Rs 70.02

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

Har Pal Aapke Sath!!

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