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Received With Thanks ' 12,010.00 Through Payment Gateway Over The Internet From

Anubhav Kathuria renewed their life insurance policy number 116807032 with LIC of India by paying an annual premium of Rs. 12,010 through an online payment gateway. The receipt acknowledges receipt of the payment on December 29, 2019 at 1:20 PM towards renewal of the policy for a term of 21 years with a sum assured of Rs. 2,50,000 and an next premium due date of January 2021. The receipt was issued electronically without a signature.

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Anubhav Kathuria
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0% found this document useful (0 votes)
85 views1 page

Received With Thanks ' 12,010.00 Through Payment Gateway Over The Internet From

Anubhav Kathuria renewed their life insurance policy number 116807032 with LIC of India by paying an annual premium of Rs. 12,010 through an online payment gateway. The receipt acknowledges receipt of the payment on December 29, 2019 at 1:20 PM towards renewal of the policy for a term of 21 years with a sum assured of Rs. 2,50,000 and an next premium due date of January 2021. The receipt was issued electronically without a signature.

Uploaded by

Anubhav Kathuria
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Collecting Branch : EPS1 Servicing Branch : LIC of India, Branch Unit 120

F-41 [1st Floor]


Transaction No : 21803714
Connaught Place.,Conn.Circus
Date ( Time ): 29/12/2019 ( 13:20:16 ) New Delhi,110001
[email protected]
Receipt No : PR2180371400011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 12,010.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Anubhav Kathuria


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.
(`) (`) (`)
116807032 165 12,010.00 1 12,010.00 0.00 120
Anubhav 21 YLY 01/20 0.00 0.0 01/21
41409111 03/01/2013 01/20 0.00 12,010.00 07AAACL0582H1ZO
2,50,000

Page Total (`) 12,010.00 12,010.00 0.00


0.00 0.00
0.00 12,010.00
Grand Total (`) 12,010.00 12,010.00 0.00
0.00 0.00
0.00 12,010.00

GST borne by LIC of India ` 270.22


TWELVE THOUSAND TEN RUPEES AND ZERO PAISE ONLY

Anubhav Kathuria
Consolidated Stamp Duty Paid
9 B, Pocket-4,
Mayur Vihar CSD/328/2019/646/19 DTD.15/02/2019
Phase-I, Delhi

110091 Payment Acknowledgement generated through


Online Portal on 29-Dec-19 Time : 13:21:56.
Mobile: 9811653359
Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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