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PaymentReceipt 20979382

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sundaramarigri

741048341_1
Collecting Branch : EPS1 Servicing Branch : LIC of India, Madurai City Br
LIC OF INDIA,MADURAI CITY BR
Transaction No : 20979382
AROCKIA ANNAI BUILDING,12-A,A A
Date ( Time ): 12/10/2023 ( 07:41:10 ) MADURAI,,625016
Email: BO_74W@LICINDIA.COM
Receipt No : PR2097938200012324
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 370.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Kum.R.Selvi,
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) (`) (`) (`)
741048341 14 / 33 370.00 1 370.00 0.00 74W
Kum.R.Selvi, 28/01/1992 QLY 10/23 0.00 0.00 01/24
No 10/23 0.00 370.00 33AAACL0582H1ZT
00422758 50,000.00

Page Total (`) 370.00 370.00 0.00


0.00 0.00
0.00 370.00
Grand Total (`) 370.00 370.00 0.00
0.00 0.00
0.00 370.00

GST borne by LIC of India ` 8.32


THREE HUNDRED SEVENTY RUPEES AND ZERO PAISE ONLY

Kum.R.Selvi,
D/O Sri B.Ramakrishnan,
10-11-19, Southchetty St,
Vathalagundu.

624202 Payment Acknowledgement generated through


Online Portal on 12-Oct-23 Time : 07:42:29.
Mobile: 94******29
Email: su********ri@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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