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Premium PR0212524200012425

This document is a renewal premium receipt for a payment of ₹15,248.54 made by Jas J R for policy number 786938069. The transaction occurred on April 17, 2024, and the servicing branch is LIC of India, Attingal Br Office. The receipt includes details such as the payment breakdown, contact information, and an acknowledgment of the electronic generation of the receipt.

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11 views1 page

Premium PR0212524200012425

This document is a renewal premium receipt for a payment of ₹15,248.54 made by Jas J R for policy number 786938069. The transaction occurred on April 17, 2024, and the servicing branch is LIC of India, Attingal Br Office. The receipt includes details such as the payment breakdown, contact information, and an acknowledgment of the electronic generation of the receipt.

Uploaded by

scribbleartist143
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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jasthejas555@

786938069_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Attingal Br Office
LIC BUILDING,
Transaction No : 2125242
NEAR KSRTC BUS STAND,,POST
Date ( Time ): 17/04/2024 ( 08:09:41 ) ATTINGAL PO,695101
Email: [email protected]
Receipt No : PR0212524200012425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 15,248.54 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Jas J R
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) (`) (`)
786938069 936 / 25 14,913.00 1 14,913.00 167.77 78E
Jas J R 24/04/2023 HLY 04/24 0.00 167.77 10/24
No 04/24 0.00 15,248.54 32AAACL0582H1ZV
2324778E 6,50,000

Page Total (`) 14,913.00 14,913.00 167.77


0.00 167.77
0.00 15,248.54
Grand Total (`) 14,913.00 14,913.00 167.77
0.00 167.77
0.00 15,248.54

FIFTEEN THOUSAND TWO HUNDRED FORTY EIGHT RUPEES AND FIFTY FOUR PAISE ONLY

Jas J R
Thejas
Chempoor
Mudakkal P O, Tvm

695103 Payment Acknowledgement generated through


Online Portal on 24-Jul-24 Time : 09:41:07.
Mobile: 97******62
Email: ja********[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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