LIC Receipt

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Collecting Branch : EPS1
Phone : +91-022-1251
Transaction No. : PR1402942200022654
Date ( Time ) : 28/06/2016 (17:40:19 )
Servicing Branch : 529
LIC of India, Deoghar
Branch Office
P B No 7 Court Rd
Deoghar- 814112
RENEWAL PREMIUM ACKNOWLEDGEMENT
Received with thanks Rs. 65,345.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Rahul Kumar
Towards the following
Policy No
Name
Agency Code
Plan
Term
D.O.C.
Inst. Prem
Mode Sum Assured
No Of Inst
Due
Fr
Total Premium
Late Fee
Service Tax
Edu Cess
Total Amt
Branch
Next Due
519292342
KumarR
04375467K
179
16
28/06/2014
₹65,345.00
YLY
₹22,50,000.00
1
07/16
07/16
₹65,345.00
₹0.00
₹0.00
₹0.00
₹65,345.00
529
07/17
Page Total (Rs)₹65,345.00 
₹65,345.00
₹0.00
₹0.00
₹0.00
₹65,345.00
 
Grand Total (Rs)₹65,345.00 
₹65,345.00
₹0.00
₹0.00
₹0.00
₹65,345.00
 
RUPEES SIXTY FIVE THOUSAND THREE HUNDRED FORTY FIVE ONLY
Rahul Kumar
S/O-Mr Nilkantha Prasad
At-Ambedkar chowk
Barmasia,
Deoghar-814112
Payment Acknowledgement generated through Online Portal on 28-Jun-2016 Time : 17:40:19.
This receipt is electronically generated.

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