PremiumReceipt_PR0765960700012425
PremiumReceipt_PR0765960700012425
PremiumReceipt_PR0765960700012425
757942222_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Srirangam Branch
LIC OF INDIA,SRIRANGAM BRANCH
Transaction No : 7659607
100/A GANDHIJI ROAD P B NO
Date ( Time ): 01/06/2024 ( 17:31:22 ) TRICHY DT TAMIL NADU,620006
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Receipt No : PR0765960700012425
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Received with thanks ` 2,002.00 through Payment Gateway over the Internet from:
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.
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757942222 75 / 20 2,002.00 1 2,002.00 0.00 75F
S Monesh 28/12/2013 QLY 06/24 0.00 0.00 09/24
No 06/24 0.00 2,002.00 33AAACL0582H1ZT
0196775F 1,25,000
S Monesh Karthick
No 18,Sangeethapuram,
Tennur,Trichy