Collecting Branch : EPS1 E-mail : bo_eps1@licindia.com Phone : +91-022-1251
Servicing Branch : 814 LIC of India, Jamnagar Branch Office I Diamond Market Pt Nehru Marg. Jamnagar Jamnagar Gujarat 361008
Transaction No. : PR0754089800011718 Date ( Time ): 26/08/2017 ( 09:14:02 )
RENEWAL PREMIUM ACKNOWLEDGEMENT Received with thanks Rs. 2064.00 through Payment Gateway over the Internet from: Smt./Ms./Shri : Bhawanisingh Mangusing Shekhawat Towards the following Policy No Name Agency Code 816077657
Plan Term D.O.C. 820 Shekhawat Bm 20 02831814 11/09/2014 Page Total (Rs)
Inst. Prem(Rs) Mode Sum Assured 2,019.00 QLY 1,00,000.00 2,019.00
Grand Total (Rs)
2,019.00
No Of Inst Due Fr Due To 1 09/17 09/17
Total Premium Tax * Branch Late Fee Total Amt Next Due CD Charges Reg. No. 2,019.00 45.00 814 0.00 2,064.00 12/17 0.00 24AAACL0582H2ZR 2,019.00 45.00 0.00 2,064.00 0.00 2,019.00 45.00 0.00 2,064.00 0.00
RUPEES TWO THOUSAND SIXTY-FOUR ONLY Bhawanisingh Mangusing Shekhawat 81, Anand Society B/H, Wooln Mill Jamnagar 361006
Payment Acknowledgement generated through Online Portal on 26-Aug-2017 Time : 09:17:57.
This receipt is electronically generated. *Tax here indicates Goods and Services Tax(GST) from 1 July 2017 or Service Tax prior to 1 July 2017.
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