PremiumReceipt_PR0765960700012425

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moneshkarthic

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
Email: [email protected]
Receipt No : PR0765960700012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 2,002.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : S Monesh Karthick


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) (`) (`)
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

Page Total (`) 2,002.00 2,002.00 0.00


0.00 0.00
0.00 2,002.00
Grand Total (`) 2,002.00 2,002.00 0.00
0.00 0.00
0.00 2,002.00

GST borne by LIC of India ` 45.04


TWO THOUSAND TWO RUPEES AND ZERO PAISE ONLY

S Monesh Karthick
No 18,Sangeethapuram,
Tennur,Trichy

620017 Payment Acknowledgement generated through


Online Portal on 05-Jul-24 Time : 13:55:22.
Mobile: 98******05
Email: mo********[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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