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    MohShaan
    This receipt acknowledges the renewal premium payment of Rs. 85,250 through an online payment gateway by Mohammed Shanawaz for his LIC insurance policy number 654279209. The payment is for the yearly premium due from December 2019 to December 2020, and the receipt provides details of the policyholder, policy, and payment amount.

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    Lic PDF

    Uploaded by

    MohShaan
    60 views1 page
    This receipt acknowledges the renewal premium payment of Rs. 85,250 through an online payment gateway by Mohammed Shanawaz for his LIC insurance policy number 654279209. The payment is for the yearly premium due from December 2019 to December 2020, and the receipt provides details of the policyholder, policy, and payment amount.

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    This receipt acknowledges the renewal premium payment of Rs. 85,250 through an online payment gateway by Mohammed Shanawaz for his LIC insurance policy number 654279209. The payment is for the yearly premium due from December 2019 to December 2020, and the receipt provides details of the policyholder, policy, and payment amount.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    60 views1 page

    Lic PDF

    Uploaded by

    MohShaan
    This receipt acknowledges the renewal premium payment of Rs. 85,250 through an online payment gateway by Mohammed Shanawaz for his LIC insurance policy number 654279209. The payment is for the yearly premium due from December 2019 to December 2020, and the receipt provides details of the policyholder, policy, and payment amount.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Collecting Branch : EPS1 Servicing Branch : LIC of India, Guntur Br Office I,

    P B No 229
    Transaction No : 18987117
    Arundel Pet.,Guntur Andhra Pradesh
    Date ( Time ): 28/11/2019 ( 12:29:42 ) Guntur I,522002
    bo_eps1@licindia.com
    Receipt No : PR1898711700011922
    HelpDesk: +91-022-1251

    RENEWAL PREMIUM RECEIPT


    Received with thanks ` 85,250.00 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : MOHAMMED SHANAWAZ


    towards the following :

    Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch


    Name Term Mode Due From Late Fee SGST/UTGST Next Due
    Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
    (`) (`) (`)
    654279209 149 85,250.00 1 85,250.00 0.00 688
    SHANAWAZ 73 YLY 12/19 0.00 0.0 12/20
    03243655 06/12/2006 8,00,000 12/19 0.00 85,250.00 0

    Page Total (`) 85,250.00 85,250.00 0.00


    0.00 0.00
    0.00 85,250.00
    Grand Total (`) 85,250.00 85,250.00 0.00
    0.00 0.00
    0.00 85,250.00

    GST borne by LIC of India ` 572.94


    EIGHTY FIVE THOUSAND TWO HUNDRED FIFTY RUPEES AND ZERO PAISE ONLY

    Mohammed Shanawaz
    Consolidated Stamp Duty Paid
    S/O.Nabi Rasool
    H.No.4-20-40/1,Siddhartha Nagar,6th CSD/328/2019/646/19 DTD.15/02/2019
    Ring Road,Guntur.

    522006 Payment Acknowledgement generated through


    Online Portal on 28-Nov-19 Time : 12:31:58.
    Mobile: 9000083212
    Email: moh.shanz@gmail.com

    This receipt is electronically generated and no signature is required.

    Har Pal Aapke Saath!

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