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This document is a renewal premium receipt for a life insurance policy held by Sanjay Kumar, acknowledging receipt of Rs. 1,210.25 through an online payment gateway for the renewal of policy number 535350188 with an annual premium of Rs. 1,188 due in July 2019. The receipt provides details of the policy such as the plan, sum assured, agent code, and next premium due date.
This document is a renewal premium receipt for a life insurance policy held by Sanjay Kumar, acknowledging receipt of Rs. 1,210.25 through an online payment gateway for the renewal of policy number 535350188 with an annual premium of Rs. 1,188 due in July 2019. The receipt provides details of the policy such as the plan, sum assured, agent code, and next premium due date.
This document is a renewal premium receipt for a life insurance policy held by Sanjay Kumar, acknowledging receipt of Rs. 1,210.25 through an online payment gateway for the renewal of policy number 535350188 with an annual premium of Rs. 1,188 due in July 2019. The receipt provides details of the policy such as the plan, sum assured, agent code, and next premium due date.
Collecting Branch : EPS1 Servicing Branch : LIC of India, Muzaffarpur
Near Devi Mandir
Transaction No : 14147234 Umashankar Pd Marg ,Muzaffarpur. Date ( Time ): 29/09/2019 ( 09:14:28 ) Muzaffarpur,842062 bo_eps1@licindia.com Receipt No : PR1414723400011920 HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks ` 1,210.25 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Sanjay Kumar
towards the following :
Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch
Name Term Mode Due From Late Fee SGST/UTGST Next Due Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No. (`) (`) (`) 535350188 150 1,188.00 1 1,188.00 1.70 515 Sanjay Kumar 30 YLY 07/19 18.85 1.7 07/20 00095515 28/07/2005 1,00,000 07/19 0.00 1,210.25 0
Page Total (`) 1,188.00 1,188.00 1.70
18.85 1.70 0.00 1,210.25 Grand Total (`) 1,188.00 1,188.00 1.70 18.85 1.70 0.00 1,210.25
GST borne by LIC of India ` 26.74
ONE THOUSAND TWO HUNDRED TEN RUPEES AND TWENTY FIVE PAISE ONLY