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Received With Thanks ' 8,798.00 Through Payment Gateway Over The Internet From

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rahulbadgujar2

016@gmail.co

Collecting Branch : EPS1 Servicing Branch : LIC of India, Borivli (W) 91V
LIC OF INDIA,BORIVLI (W) 91V
Transaction No : 37550314
1ST FLOOR, J B NAGAR SHOPPING
Date ( Time ): 26/02/2022 ( 11:15:36 ) BORIVLI(W), MUMBAI,400103
Email: BO_91V@LICINDIA.COM
Receipt No : PR3755031400022122
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 8,798.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Rahul Madhavrao Badgujar


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) (`) (`) (`)
991339869 165 / 33 6,065.00 1 6,065.00 0.00 908
Rahul 01/03/2012 HLY 03/22 0.00 0.00 09/22
No 03/22 0.00 6,065.00 27AAACL0582H1ZM
00824908 2,50,000

893221254 149 / 69 2,733.00 1 2,733.00 0.00 91V


Rahul 11/08/2006 HLY 02/22 0.00 0.00 08/22
No 02/22 0.00 2,733.00 27AAACL0582H1ZM
0080091V 1,00,000

Page Total (`) 8,798.00 8,798.00 0.00


0.00 0.00
0.00 8,798.00
Grand Total (`) 8,798.00 8,798.00 0.00
0.00 0.00
0.00 8,798.00

GST borne by LIC of India ` 197.96


EIGHT THOUSAND SEVEN HUNDRED NINETY EIGHT RUPEES AND ZERO PAISE ONLY

Rahul Madhavrao Badgujar


Consolidated Stamp Duty Paid
Flat No.301,F-Wing,Excellencia
Kalyan-Shil Road,Opp Lodha Heaven, CSD/70/2021/2092 DATED - 24.06.2021
Casabella,Palava,Dombivali E

421204 Payment Acknowledgement generated through


Online Portal on 26-Feb-22 Time : 11:19:07.
Mobile: 92******77
Email: ra********16@gmail.com
This receiptbo_eps1@licindia.com
For Payment related queries-Email: is electronically generated and no signature is required.

Har Pal Aapke Saath!

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