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PaymentReceipt 27522087

Mr. Ashish Jaiswal renewed the premium of 6,205 INR for his life insurance policy numbered 283692356 through an online payment. The receipt details the policy information including plan details, premium amount, due dates, and taxes. It acknowledges receipt of the payment and provides contact information for any queries related to the transaction.

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ashish jaiswal
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24 views1 page

PaymentReceipt 27522087

Mr. Ashish Jaiswal renewed the premium of 6,205 INR for his life insurance policy numbered 283692356 through an online payment. The receipt details the policy information including plan details, premium amount, due dates, and taxes. It acknowledges receipt of the payment and provides contact information for any queries related to the transaction.

Uploaded by

ashish jaiswal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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j.

ashish2001@

283692356_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Varanasi District
LIC OF INDIA,VARANASI DISTRICT BR
Transaction No : 27522087
Chhavi Complex,
Date ( Time ): 09/12/2023 ( 22:15:49 ) VARANASI,221002
Email: [email protected]
Receipt No : PR2752208700012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 6,205.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Mr. Ashish Jaiswal La


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) (`) (`) (`)
283692356 75 / 20 6,205.00 1 6,205.00 0.00 292
Mr. Ashish 28/11/2004 YLY 11/23 0.00 0.00
No 11/23 0.00 6,205.00 09AAACL0582HFZ6
05921292 1,00,000

Page Total (`) 6,205.00 6,205.00 0.00


0.00 0.00
0.00 6,205.00
Grand Total (`) 6,205.00 6,205.00 0.00
0.00 0.00
0.00 6,205.00

GST borne by LIC of India ` 139.62


SIX THOUSAND TWO HUNDRED FIVE RUPEES AND ZERO PAISE ONLY

Mr. Ashish Jaiswal La


Consolidated Stamp Duty Paid
Smt Baby Jaiswal P
J 8/72 H-2, Digiya, LOA/CSD/16/2023/4476 dtd 06/11/2023 valid from 10/11/2023 to
Jaitpura, Varanasi

221001 Payment Acknowledgement generated through


Online Portal on 09-Dec-23 Time : 22:19:25.
Mobile: 83******95
Email: j.********[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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