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  • Request Receipt

    • LIC Receipt

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    Organization Name: Life Insurance Corporation of India (LIC) Organization Tagline: Yogakshemam Vahamyaham Address Line 1: LIC Central Office, Yogakshema Address Line 2: Jeevan Bima Marg City, State, Zip: Mumbai, MH 400021 Phone: 022-68276827 Website: www.licindia.in Email: support@licindia.in

    -------------------------------------------

    Transaction Type: Premium Payment Policy Number: LIC-POL-8842159921 Receipt Number: LIC-REC-20251112-004981 Payment Status: Successful Payment Date & Time: 11/12/2025 10:37:25 AM Payment Mode: Debit Card Card: Visa ending 4922 Authorization Code: LIC-AUTH-6H72F9 Reference Number: LIC20251112R004981 Currency: INR

    -------------------------------------------
    Policyholder Name:
    Samantha Lee
    Policy Type:
    Endowment Plan
    Policyholder Email:
    samantha.lee@example.com
    Policy Term:
    20 Years
    Address:
    742 Evergreen Terrace, Apt 9C, Springfield, IL 62704, United States
    Premium Mode:
    Annual
    Due Date:
    11/12/2025
    Policy Number:
    LIC-POL-8842159921
    08/03/2026, 05:18:02 AM
    -------------------------------------------
    1
    Policy Premium Amount
    $12000.00
    1
    GST / Charges
    $540.00
    -------------------------------------------
    Subtotal$12540.00
    Discount(5%)$627.00
    Tax(15%)$1786.95
    Total
    $13699.95
    -------------------------------------------
    Card Number**** **** **** 4922
    Card TypeDebit
    Card EntryChip
    Date/Time11/20/2019 11:09 AM
    Reference #62845289260246240685C
    StatusAPPROVED
    -------------------------------------------
    -------------------------------------------

    Receipt Reference: LIC-2025-1112-009 Customer Care: 022-68276827 Help Center: www.licindia.in/customer-services Thank you for paying your LIC premium. Security Notice: LIC will never ask for your password, PIN, or OTP by email or SMS. Footer: Life Insurance Corporation of India

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