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This receipt acknowledges payment of Rs. 3,988.00 from Sachin Kumar towards renewal of their life insurance policy number 116975071. The payment includes an installment premium of Rs. 3,870.00, a late fee of Rs. 30.60, and GST of Rs. 87.76. The receipt provides details of the policy such as the plan, sum assured, due dates, and branch information.
This receipt acknowledges payment of Rs. 3,988.00 from Sachin Kumar towards renewal of their life insurance policy number 116975071. The payment includes an installment premium of Rs. 3,870.00, a late fee of Rs. 30.60, and GST of Rs. 87.76. The receipt provides details of the policy such as the plan, sum assured, due dates, and branch information.
This receipt acknowledges payment of Rs. 3,988.00 from Sachin Kumar towards renewal of their life insurance policy number 116975071. The payment includes an installment premium of Rs. 3,870.00, a late fee of Rs. 30.60, and GST of Rs. 87.76. The receipt provides details of the policy such as the plan, sum assured, due dates, and branch information.
Transaction No. : 83853846 Jeevan Tara Bldg. Gate No.4 Ist Floor 5 Parliament Street. Date ( Time ): 18/01/2018 ( 23:21:59 ) New Delhi, 110001 email: bo_113@licindia.com HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks Rs. 3,988.00 from policyholder Shri/Smt.Sachin Kumar
towards the following policy/ies
Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch
Name Term Mode Due Fr Late Fee SGST/UTGST Next Due Agency D.O.C. Sum Assured Due To CD Chgs Total Amt Reg. No. Code 116975071 820 3,870.00 1 3,870.00 43.88 113 Sachin S 20 QLY 12/17 30.60 43.88 03/18 86181111 08/03/2014 2,00,000.00 12/17 0.00 3,988.36 07AAACL0582H1ZO Page Total (Rs) 3,870.00 3,870.00 43.88 30.60 43.88 0.00 3,988.36 Grand Total (Rs) 3,870.00 3,870.00 43.88 30.60 43.88 0.00 3,988.36
RUPEES THREE THOUSAND NINE HUNDRED EIGHTY-EIGHT ONLY
Paid by Cash/Card :0.00 Paid by Cheque :3,988.00 Cheque No :40220 Cheque Date :18/01/2018
Sachin Kumar Consolidated Stamp Duty Paid
A - 1 Nihfw Campus Munirka New Delhi For Life Insurance Corporation of India, 110067. Smt Punam Batra(86181111) Mobile: Email:
**GST borne by LIC of India is Rs 0.00
This receipt is subject to realisation of cheque amount.