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PaymentReceipt 14987623

Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

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38 views1 page

PaymentReceipt 14987623

Smt. Bhanwari Devi paid Rs. 3,608.76 through an online payment gateway towards the renewal of her LIC policy number 109139741. The payment was for two outstanding premium installments of Rs. 1,733 each due on April 23 and July 23 of the current year, along with applicable late fees and charges. The receipt acknowledges the online payment made for the renewal of her quarterly payable LIC policy with a sum assured of Rs. 75,000 that has been in force since October 22, 2014.

Uploaded by

relevelmarket
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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101bhagirath1

01@gmail.com

109139741_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Jodhpaur CAB
LIC OF INDIA, BRANCH OFFICE - 18E
Transaction No : 14987623
CAB BRANCH, JEEVAN JYOTI,,NEAR
Date ( Time ): 20/08/2023 ( 10:09:17 ) JODHPUR,342003
Email: BO_18E@LICINDIA.COM
Receipt No : PR1498762300012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,608.76 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Bhanwari Devi


towards the following :

Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
Revival Sum Assured Due To CD Charges Total Amt Reg. No.
Agency Code
(Yes/No) (`) (`) (`)
109139741 827 / 20 1,733.00 2 3,466.00 43.93 18E
Bhanwari 22/10/2014 QLY 04/23 54.90 43.93 10/23
Yes 07/23 0.00 3,608.76 08AAACL0582H2ZL
0158618E 75,000.00

Page Total (`) 1,733.00 3,466.00 43.93


54.90 43.93
0.00 3,608.76
Grand Total (`) 1,733.00 3,466.00 43.93
54.90 43.93
0.00 3,608.76

THREE THOUSAND SIX HUNDRED EIGHT RUPEES AND SEVENTY SIX PAISE ONLY

Bhanwari Devi
W/O Sh Mohan Ram Choudhary
208,Mulaniyon Ki Dhani,Beradon
Ka Bas,Teh-Osian,Dt-Jodhpur Raj

342306 Payment Acknowledgement generated through


Online Portal on 20-Aug-23 Time : 10:10:39.
Mobile: 86******83
Email: 10********01@gmail.com
For Payment related queries-Email: bo_eps1@licindia.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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