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LIC Premium Payment Receipt 2014

This document is a renewal premium acknowledgment from LIC of India for a policy held by K.S Moraji Desai. It acknowledges receipt of Rs. 8,360 through an online payment gateway for renewal of Policy No. 756515146, which is a 149-term plan with a sum assured of Rs. 3,00,000. The payment is for the period of May 2014 to May 2014. The acknowledgment was generated on June 4, 2014 by the EPS1 collecting branch and sent to the servicing branch 665 in Tiruchirapalli, Tamil Nadu.

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MORARJI DESAI K S
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266 views1 page

LIC Premium Payment Receipt 2014

This document is a renewal premium acknowledgment from LIC of India for a policy held by K.S Moraji Desai. It acknowledges receipt of Rs. 8,360 through an online payment gateway for renewal of Policy No. 756515146, which is a 149-term plan with a sum assured of Rs. 3,00,000. The payment is for the period of May 2014 to May 2014. The acknowledgment was generated on June 4, 2014 by the EPS1 collecting branch and sent to the servicing branch 665 in Tiruchirapalli, Tamil Nadu.

Uploaded by

MORARJI DESAI K S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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

Servicing Branch : 665


LIC of India, Rock Fort Branch Office
19/20 Bharatiyar Road P B No-488
Tiruchirapalli.
Tamilnadu
Trichy
Tamilnadu 620008

Transaction No. : PR0208432400011415


Date ( Time ): 04/06/2014 ( 09:38:32 )

RENEWAL PREMIUM ACKNOWLEDGEMENT


Received with thanks Rs. 8360.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : K.S Moraji Desai
Towards the following
Policy No
Name
Agency Code
756515146
Moraji Desai
K.S

Plan
Term
D.O.C.
149
72
26/05/2011

04570665
Page Total (Rs)

Inst. Prem(Rs)
Mode
Sum Assured
8,360.00
HLY
3,00,000.00

Grand Total (Rs)

No Of Inst
Due Fr
Due To
1
05/14
05/14

Total Premium
Late Fee
8,360.00
0.00

8,360.00

8,360.00
0.00

8,360.00

8,360.00
0.00

Service Tax
Edu Cess
Total Amt
0.00
0.00
8,360.00

Branch
Next Due
665
11/14

0.00
0.00
8,360.00
0.00
0.00
8,360.00

RUPEES EIGHT THOUSAND THREE HUNDRED SIXTY ONLY


K.S Moraji Desai
O.No.1/101b,New No.146,
Pillayar Koil St,T.Kallikudi,
Alangudi Mahajanam,Lalgudi Tk,Tric
621702

Payment Acknowledgement generated through Online


Portal on 04-Jun-2014 Time : 09:40:13. Digitally Signed
Premium Receipt sent by email

This receipt is electronically generated.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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