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Received With Thanks ' 13,687.18 Through Payment Gateway Over The Internet From

Smt. Ananda S. K. from Bangalore renewed the premium of insurance policy number 617704607 for Rs. 13,687.18 through an online payment gateway. The policy was taken in 2016 with a sum assured of Rs. 5,00,000 and has a term of 21 years. The receipt acknowledges the receipt of the annual premium of Rs. 13,386 for the next due period of March 2024.

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Anand SK
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13 views1 page

Received With Thanks ' 13,687.18 Through Payment Gateway Over The Internet From

Smt. Ananda S. K. from Bangalore renewed the premium of insurance policy number 617704607 for Rs. 13,687.18 through an online payment gateway. The policy was taken in 2016 with a sum assured of Rs. 5,00,000 and has a term of 21 years. The receipt acknowledges the receipt of the annual premium of Rs. 13,386 for the next due period of March 2024.

Uploaded by

Anand SK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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anand8074@g

617704607_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Basavangudi
LIC OF INDIA, BRANCH OFFICE - 61A
Transaction No : 18961612
NO.1 (OLD NO.8/9), 1ST
Date ( Time ): 26/09/2023 ( 18:06:40 ) BANGALORE.,560018
Email: [email protected]
Receipt No : PR1896161200012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 13,687.18 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Ananda. S. K.
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) (`) (`)
617704607 815 / 21 13,386.00 1 13,386.00 150.59 61A
Ananda 26/09/2016 HLY 09/23 0.00 150.59 03/24
No 09/23 0.00 13,687.18 29AAACL0582H2ZH
0157961A 5,00,000

Page Total (`) 13,386.00 13,386.00 150.59


0.00 150.59
0.00 13,687.18
Grand Total (`) 13,386.00 13,386.00 150.59
0.00 150.59
0.00 13,687.18

THIRTEEN THOUSAND SIX HUNDRED EIGHTY SEVEN RUPEES AND EIGHTEEN PAISE ONLY

Ananda. S. K.
S/O S.H.Krishnappa,Thippasandra Hobli
Near Gopalakrishna Swamy Temple
Sankighatta,Bangalore

562131 Payment Acknowledgement generated through


Online Portal on 18-Jan-24 Time : 21:06:18.
Mobile: 99******32
Email: an********[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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