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Collecting Branch : EPS1 Servicing Branch : LIC of India, Kakinada Ca

2nd Floor Sri Surya Complex


Transaction No : 25489240
14/19/1 Vallabha Street Post Box No-
Date ( Time ): 02/02/2020 ( 21:14:44 ) Kakinada,533001
bo_eps1@licindia.com
Receipt No : PR2548924000011920
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,929.40 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Arun Kumar Pandey


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.
(`) (`) (`)
804534021 822 3,330.00 1 3,330.00 299.70 80B
Arun Kumar 25 YLY 01/20 0.00 299.70 01/21
0014780B 02/01/2015 01/20 0.00 3,929.40 37AAACL0582H2ZK
10,00,000

Page Total (`) 3,330.00 3,330.00 299.70


0.00 299.70
0.00 3,929.40
Grand Total (`) 3,330.00 3,330.00 299.70
0.00 299.70
0.00 3,929.40

THREE THOUSAND NINE HUNDRED TWENTY NINE RUPEES AND FORTY PAISE ONLY

Arun Kumar Pandey


S/O.P.Vijaya Shankar
D.S.Homes-3,G-4,Opp.Saitemple
Ashok Nagar,Kakinada

533003 Payment Acknowledgement generated through


Online Portal on 02-Feb-20 Time : 21:18:21.
Mobile: 8186068616
Email: arunpandey16@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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