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    Renewal Premium Receipt: Har Pal Aapke Sath!!

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    Shri Ashutosh Mohanty paid Rs. 6,036 towards renewal of his life insurance policy no. 828172263 with LIC of India's Nayagarh branch office. The payment included an installment premium of Rs. 5,797, CGST of Rs. 73.48, SGST of Rs. 73.48, and a late fee of Rs. 91.80. The receipt acknowledges receipt of the payment in full toward renewal of the specified policy.

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    Renewal Premium Receipt: Har Pal Aapke Sath!!

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    Shri Ashutosh Mohanty paid Rs. 6,036 towards renewal of his life insurance policy no. 828172263 with LIC of India's Nayagarh branch office. The payment included an installment premium of Rs. 5,797, CGST of Rs. 73.48, SGST of Rs. 73.48, and a late fee of Rs. 91.80. The receipt acknowledges receipt of the payment in full toward renewal of the specified policy.

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    PrmPayRcpt-29412113

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    Shri Ashutosh Mohanty paid Rs. 6,036 towards renewal of his life insurance policy no. 828172263 with LIC of India's Nayagarh branch office. The payment included an installment premium of Rs. 5,797, CGST of Rs. 73.48, SGST of Rs. 73.48, and a late fee of Rs. 91.80. The receipt acknowledges receipt of the payment in full toward renewal of the specified policy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views1 page

    Renewal Premium Receipt: Har Pal Aapke Sath!!

    Uploaded by

    Whatsapp Lovers status
    Shri Ashutosh Mohanty paid Rs. 6,036 towards renewal of his life insurance policy no. 828172263 with LIC of India's Nayagarh branch office. The payment included an installment premium of Rs. 5,797, CGST of Rs. 73.48, SGST of Rs. 73.48, and a late fee of Rs. 91.80. The receipt acknowledges receipt of the payment in full toward renewal of the specified policy.

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    of 1

    Collecting Center : A001 Branch Code : 58A

    LIC of India, Nayagarh Br Office


    Transaction No. : 29412113 LIC OF INDIA,NAYAGARH BR OFFICE
    MAIN ROAD
    Date ( Time ): 22/06/2021 ( 21:04:27 ) DIST-NAYAGARH (ORISSA), 752069
    email: [email protected]
    Call Center No: 022-68276827

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 6,036.00 from policyholder Shri/Smt.Ashutosh Mohanty


    towards the following policy/ies

    Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch | Agency
    Name Term Mode Due Fr Late Fee SGST*/UTGST Code
    Revival D.O.C. Sum Assured Due To CD Chgs + Total Amt Next Due
    (Yes/No) Xcharge Reg. No.
    828172263 834 5,797.00 1 5,797.00 73.48 58A |0115958A
    A Mohanty 21 YLY 04/21 91.80 73.48 04/22
    Yes 28/04/2018 1,00,000.00 04/21 0.00 + 0.00 6,035.76 21AAACL0582H1ZY
    Page Total (Rs) 5,797.00 5,797.00 73.48
    91.80 73.48
    0.00 6,035.76
    Grand Total (Rs) 5,797.00 5,797.00 73.48
    91.80 73.48
    0.00 6,035.76

    RUPEES SIX THOUSAND THIRTY-SIX ONLY


    Paid by Cash/Card/Sr :6,035.76
    Paid by Cheque :0.00
    Cheque No/ChequeDate : 0/

    Ashutosh Mohanty Consolidated Stamp Duty Paid


    S/O-Sridhar Mohanty CSD/113/2020/1936 DTD. 18.09.2020
    At-Kadua,Po-Rasanga
    Via-Gania , Dt-Nayagarh Odisha
    752085. For Life Insurance Corporation of India,
    Mobile: Suresh Chandra Parida(0115958A)

    *SGST also includes cess amount of Rs. 0.00.


    GST and Cess borne by LIC of India is Rs 0.00

    Har Pal Aapke Sath!!

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