Colle cting Branch : EPS1 E-mail :
[email protected] Phone : +91-022-1251
Serv Ser v icing Branch : 529 LIC of India, India, Deoghar Branch Office P B No 7 Court Rd Deoghar- 814112 814112
Transactio n No. : PR1402942200022654 Date ( Tim Time e ): 28/06/2016 ( 17 :40:19 )
RENEWAL RENEWAL PREMIUM ACKNOWLEDGEMENT ACKNOWLEDGEMENT Rece Re ceived ived with thanks Rs. 65345.00 th 65345.00 through rough Paym Payme e nt Gateway over the Intern Internet et from: f rom: Smt./Ms./Shri Smt./Ms ./Shri : Rahul Kumar Towards the followi fo llowing ng Policy No Name Nam e Agency Code
Plan Term D.O.C. D.O. C. 179 16
519292342 Kumar
R
04375467K
28/06/2014
Page Total (Rs)
Grand Grand Total Total Rs
Inst. Prem(Rs) No Of Inst T Total otal Premium Mode Sum Due Late Fee Assured Fr 65,345.00 65,345.00 1 YLY 07/16 0.00 22,50,000.00 22,50,000. 00 07/16 65,345.00 65,345.00 0.00 65,345.00
65,345.00 0.00
Serv ic ice e Tax Edu Cess Total Amt 0.00 0.00
Branch Next Due 529 07/17
65,345.00 0.00 0.00 65,345.00 0.00 0.00 65,345.00
RUPEES SIXTY FIVE THOUSAND THREE HUNDRED FORTY FIVE ONLY Rahul Kumar S/O-Mr Nilkantha Prasad
Payment Acknowledgement Acknowledgement generated thro ugh Online Online Portal on 28-Jun-2016 Time : 17:41:29.
At-Ambedkar chowk Barmasia, Deoghar-814112 This receipt is electronically generated.
Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi
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