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    Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

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    Siva Subramanian
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 8,621 from S. Rajeshkumar toward renewal of their life insurance policy number 735107724. The receipt provides key details about the policy such as the plan name, term, sum assured, installment due date, and next premium due date. It also lists the servicing and collecting branch details and was issued on February 10, 2012.

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    Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

    Uploaded by

    Siva Subramanian
    36 views1 page
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 8,621 from S. Rajeshkumar toward renewal of their life insurance policy number 735107724. The receipt provides key details about the policy such as the plan name, term, sum assured, installment due date, and next premium due date. It also lists the servicing and collecting branch details and was issued on February 10, 2012.

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    PrmPayRcptSign-PR1095586600011112

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    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 8,621 from S. Rajeshkumar toward renewal of their life insurance policy number 735107724. The receipt provides key details about the policy such as the plan name, term, sum assured, installment due date, and next premium due date. It also lists the servicing and collecting branch details and was issued on February 10, 2012.

    Copyright:

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

    Renewal Premium Receipt: Collecting Branch: E-Mail: Phone: Transaction No.: Date (Time) : Servicing Branch

    Uploaded by

    Siva Subramanian
    This document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 8,621 from S. Rajeshkumar toward renewal of their life insurance policy number 735107724. The receipt provides key details about the policy such as the plan name, term, sum assured, installment due date, and next premium due date. It also lists the servicing and collecting branch details and was issued on February 10, 2012.

    Copyright:

    © All Rights Reserved
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    of 1

    Collecting Branch : EPS1 Servicing Branch : 73N

    E-mail : [email protected] LIC of India,Arni Branch


    Phone : +91-022-1251 No.286 Sathiyamoorthy Road
    Arni.
    Transaction No. : PR1095586600011112 Tiruvannamalai District
    Arni
    Date ( Time ): 10/02/2012 ( 11:40:46 ) 632301

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 8621.00 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : S.Rajeshkumar

    Towards the following

    Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Branch


    Name Term Mode Due Fr Late Fee Next Due
    Agency Code D.O.C. Sum Assured Due To Total Amt
    735107724 179 8,621.00 1 8,621.00 73N
    Rajesh Kumar 20 HLY 01/12 0.00 07/12
    S
    14/07/2008 5,00,000.00 01/12 8,621.00
    01756732
    Page Total (Rs) 8,621.00 8,621.00
    0.00
    8,621.00
    Grand Total (Rs) 8,621.00 8,621.00
    0.00
    8,621.00

    RUPEES EIGHT THOUSAND SIX HUNDRED TWENTY-ONE ONLY

    S.Rajeshkumar Mudrank A.Mu.Sh.2011/CR 310/M-1 dated 07/07/2011


    S/O.M.Settu,
    #86,Anna Nagar,
    Kammavanpettai,Vellore Tk.
    632319

    This receipt is electronically generated and is digitally signed.

    Signature Not Verified


    Digitally signed by REKHA VARSHNEY
    Date: February 13, 2012 5:09:48 PM IST
    Reason: Premium Receipt
    Location: LIC OF INDIA

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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