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Received With Thanks ' 10,320.42 Through Payment Gateway Over The Internet From

The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 10,320.42 from Sruthi Dinesh towards renewal of her life insurance policy number 318956916. The receipt provides details of the policy such as plan details, premium amount, due dates, and taxes paid.

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24 views1 page

Received With Thanks ' 10,320.42 Through Payment Gateway Over The Internet From

The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 10,320.42 from Sruthi Dinesh towards renewal of her life insurance policy number 318956916. The receipt provides details of the policy such as plan details, premium amount, due dates, and taxes paid.

Uploaded by

Anonymous XZUyueN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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318956916_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Kannur Br Office


LIC OF INDIA BRANCH I
Transaction No : 521567
PB NO:406, P.M.ROAD,TALAP.,
Date ( Time ): 05/04/2021 ( 12:22:43 ) ,670002
Email: [email protected]
Receipt No : PR0052156700012122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 10,320.42 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Sruthi Dinesh


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) (`) (`) (`)
318956916 845 / 70 10,081.00 1 10,081.00 113.41 772
Sruthi Dinesh 27/01/2020 QLY 04/21 0.00 126.01 07/21
No 04/21 0.00 10,320.42 32AAACL0582H1ZV
03400772 5,00,000

Page Total (`) 10,081.00 10,081.00 113.41


0.00 126.01
0.00 10,320.42
Grand Total (`) 10,081.00 10,081.00 113.41
0.00 126.01
0.00 10,320.42

SGST includes state cess of 12.60

TEN THOUSAND THREE HUNDRED TWENTY RUPEES AND FORTY TWO PAISE ONLY

Sruthi Dinesh
Consolidated Stamp Duty Paid
D/O. Dineshan, Sruthi
Nr. Pamban Kandy, Po Chalad CSD/113/2020/1936 DTD. 18.09.2020
Kannur Dist

670014 Payment Acknowledgement generated through


Online Portal on 05-Apr-21 Time : 12:25:32.
Mobile: 70******75
Email: sr********[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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