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Collecting Branch : EPS1
Servicing Branch : LIC of India, Arrah Branch
Transaction No : 6705203
Mahavir Tola. Arrah Bihar,
Date ( Time ): 12/07/2018 ( 22:46:44 ) Receipt No :
Arrah,802301 [email protected] HelpDesk: +91-022-1251
PR0670520300011819
RENEWAL PREMIUM RECEIPT Received with thanks ` 3,062.00 through Payment Gateway over the Internet from: Smt./Ms./Shri :
Kamlesh Bharti
towards the following : Policy No Name Agency Code
Plan Term D.O.C.
Inst. Premium Mode Sum Assured
No Of Inst Due From Due To
Total Premium Late Fee CD Charges
(`)
(`) 519038425 Kamlesh Bharti
165 21
04390528
26/03/2012
3,062.00 QLY 2,50,000
CGST SGST/UTGST Total Amt
Reg. No.
(`) 0.00
528
06/18
3,062.00 0.00
0.00
09/18
06/18
0.00
3,062.00
1
Page Total (`)
3,062.00
3,062.00 0.00 0.00
0.00 0.00 3,062.00
Grand Total (`)
3,062.00
3,062.00 0.00
0.00 0.00
0.00
3,062.00
GST borne by LIC of India ` 68.90 THREE THOUSAND SIXTY TWO RUPEES AND ZERO PAISE ONLY
Kamlesh Bharti S/O Sri Raj Kishore Bharti Vill-Jhawan Ke Mathiya,P.O-Benwaliya P/S- Bihiya,Dist- Bhojpur` 802151 Mobile: 9992435196 Email: [email protected]
Branch Next Due
Payment Acknowledgement generated through Online Portal on 13-Jul-18 Time : 05:57:45.
This receipt is electronically generated and no signature is required. Har Pal Aapke Saath!
Servicing Branch : LIC of India, Arrah Branch
Transaction No : 6705203
Mahavir Tola. Arrah Bihar,
Date ( Time ): 12/07/2018 ( 22:46:44 ) Receipt No :
Arrah,802301 [email protected] HelpDesk: +91-022-1251
PR0670520300011819
RENEWAL PREMIUM RECEIPT Received with thanks ` 3,062.00 through Payment Gateway over the Internet from: Smt./Ms./Shri :
Kamlesh Bharti
towards the following : Policy No Name Agency Code
Plan Term D.O.C.
Inst. Premium Mode Sum Assured
No Of Inst Due From Due To
Total Premium Late Fee CD Charges
(`)
(`) 519038425 Kamlesh Bharti
165 21
04390528
26/03/2012
3,062.00 QLY 2,50,000
CGST SGST/UTGST Total Amt
Reg. No.
(`) 0.00
528
06/18
3,062.00 0.00
0.00
09/18
06/18
0.00
3,062.00
1
Page Total (`)
3,062.00
3,062.00 0.00 0.00
0.00 0.00 3,062.00
Grand Total (`)
3,062.00
3,062.00 0.00
0.00 0.00
0.00
3,062.00
GST borne by LIC of India ` 68.90 THREE THOUSAND SIXTY TWO RUPEES AND ZERO PAISE ONLY
Kamlesh Bharti S/O Sri Raj Kishore Bharti Vill-Jhawan Ke Mathiya,P.O-Benwaliya P/S- Bihiya,Dist- Bhojpur` 802151 Mobile: 9992435196 Email: [email protected]
Branch Next Due
Payment Acknowledgement generated through Online Portal on 13-Jul-18 Time : 05:57:45.
This receipt is electronically generated and no signature is required. Har Pal Aapke Saath!
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