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LIC Receipt

Sri Vijay Kumar Gupta paid Rs. 5,088 through an online payment gateway to renew his life insurance policy with LIC of India for the next term. The policy number is 280243915 with a sum assured of Rs. 1,00,000 payable annually. The receipt confirms receipt of the renewal premium amount on 12 April 2012 for the period from March 2012 to March 2013, with the next premium due in March 2013.

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100% found this document useful (4 votes)
11K views1 page

LIC Receipt

Sri Vijay Kumar Gupta paid Rs. 5,088 through an online payment gateway to renew his life insurance policy with LIC of India for the next term. The policy number is 280243915 with a sum assured of Rs. 1,00,000 payable annually. The receipt confirms receipt of the renewal premium amount on 12 April 2012 for the period from March 2012 to March 2013, with the next premium due in March 2013.

Uploaded by

Sun
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Collecting Branch : EPS1 E-mail : bo_eps1@licindia.com Phone : +91-022-1251 Transaction No.

: PR0030489700011213 Date ( Time ): 12/04/2012 ( 13:40:24 )

Servicing Branch : 226 LIC of India,Lucknow City Branch 3rd Floor Halwasiya Market Hazaratganj. Lucknow Lucknow City 226001

RENEWAL PREMIUM RECEIPT


Received with thanks Rs. 5088.00 through Payment Gateway over the Internet from: Smt./Ms./Shri : Sri Vijay Kumar Gupta Towards the following Plan Term D.O.C. 93 Gupta Vk 25 00693289 21/03/1990 Page Total (Rs) Policy No Name Agency Code 280243915 Inst. Prem(Rs) Mode Sum Assured 5,088.00 YLY 1,00,000.00 5,088.00 No Of Inst Due Fr Due To 1 03/12 03/12 Total Premium Late Fee Total Amt 5,088.00 0.00 5,088.00 5,088.00 0.00 5,088.00 5,088.00 0.00 5,088.00 Branch Next Due 226 03/13

Grand Total (Rs)

5,088.00

RUPEES FIVE THOUSAND EIGHTY-EIGHT ONLY Sri Vijay Kumar Gupta M M B 2/8,S B I Colony Sector-P,Aliganj Lucknow 226024 Duplicate receipt generated online through LIC Portal on 12-Apr-2012 Time : 13:44:27

This receipt is electronically generated and is digitally signed.

Signature Not Verified


Digitally signed by REKHA VARSHNEY Date: April 12, 2012 1:44:27 PM IST Reason: Premium Receipt Location: LIC OF INDIA

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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