E-mail : bo_eps1@licindia.com
Phone : +91-022-1251
Plan
Term
D.O.C.
174
Sasikumar S
20
01960731
13/03/2006
Page Total (Rs)
Inst. Prem(Rs)
Mode
Sum Assured
1,607.00
MLY
5,00,000.00
1,607.00
1,607.00
No Of Inst
Due Fr
Due To
1
10/15
10/15
Total Premium
Late Fee
1,607.00
12.70
1,607.00
12.70
1,607.00
12.70
Service Tax
Edu Cess
Total Amt
0.00
0.00
1,619.70
0.00
0.00
1,619.70
0.00
0.00
1,619.70
Branch
Next Due
731
11/15
RUPEES ONE THOUSAND SIX HUNDRED NINETEEN AND SEVENTY PAISE ONLY
S.Sasikumar
No:213, Ist Street, Prakash Nagar,
Ponniammen Medu,
Chennai.
600110
This receipt is electronically generated.