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    1931.50 CB Jun 23

    Uploaded by

    MAYANK BASU
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder (Champa Bose), the policy number (486924906), premium amount paid (Rs. 1,931.50), due dates, and branches involved in the transaction. The payment was received through an online payment gateway for the renewal of this life insurance policy with LIC of India.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    1931.50 CB Jun 23

    Uploaded by

    MAYANK BASU
    18 views1 page
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder (Champa Bose), the policy number (486924906), premium amount paid (Rs. 1,931.50), due dates, and branches involved in the transaction. The payment was received through an online payment gateway for the renewal of this life insurance policy with LIC of India.

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    1931.50 CB JUN 23

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    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder (Champa Bose), the policy number (486924906), premium amount paid (Rs. 1,931.50), due dates, and branches involved in the transaction. The payment was received through an online payment gateway for the renewal of this life insurance policy with LIC of India.

    Copyright:

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

    1931.50 CB Jun 23

    Uploaded by

    MAYANK BASU
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder (Champa Bose), the policy number (486924906), premium amount paid (Rs. 1,931.50), due dates, and branches involved in the transaction. The payment was received through an online payment gateway for the renewal of this life insurance policy with LIC of India.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    champabasu2

    486924906_1
    Collecting Branch : EPS1 Servicing Branch : LIC of India, Maligaon Branch
    LIC OF INDIA,MALIGAON BRANCH
    Transaction No : 7650949
    MALIGAON CHARIALI.,MALIGAON
    Date ( Time ): 13/06/2023 ( 21:21:01 ) GUWAHATI ASSAM,781011
    Email: [email protected]
    Receipt No : PR0765094900012324
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 1,931.50 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Champa Bose


    towards the following :

    Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
    Name D.O.C. Mode Due From Late Fee SGST/UTGST Next Due
    Revival Sum Assured Due To CD Charges Total Amt Reg. No.
    Agency Code
    (Yes/No) (`) (`) (`)
    486924906 814 / 15 1,889.00 1 1,889.00 21.25 48C
    Champa Bose 17/03/2016 QLY 06/23 0.00 21.25 09/23
    No 06/23 0.00 1,931.50 18AAACL0582H1ZL
    0139948C 1,00,000

    Page Total (`) 1,889.00 1,889.00 21.25


    0.00 21.25
    0.00 1,931.50
    Grand Total (`) 1,889.00 1,889.00 21.25
    0.00 21.25
    0.00 1,931.50

    ONE THOUSAND NINE HUNDRED THIRTY ONE RUPEES AND FIFTY PAISE ONLY

    Champa Bose
    C/O-Lt Palash Bose
    246/A East Maligaon
    Dist-Kamrup Assam Guwahati

    781012 Payment Acknowledgement generated through


    Online Portal on 13-Jun-23 Time : 21:23:12.
    Mobile: 94******26
    Email: ch********[email protected]
    For Payment related queries-Email: [email protected]

    This receipt is electronically generated and no signature is required.

    Har Pal Aapke Saath!

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