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

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    Sunder Bisht
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder, Asha Bisht, the policy number, term, sum assured, premium amount of Rs. 9,998 paid toward the next installment, and a late fee of Rs. 237.50. The total amount received is Rs. 10,235.50 as acknowledged by the representative of LIC of India, Sohna Branch Office in Sohna, Haryana.

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

    Uploaded by

    Sunder Bisht
    10 views1 page
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder, Asha Bisht, the policy number, term, sum assured, premium amount of Rs. 9,998 paid toward the next installment, and a late fee of Rs. 237.50. The total amount received is Rs. 10,235.50 as acknowledged by the representative of LIC of India, Sohna Branch Office in Sohna, Haryana.

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    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder, Asha Bisht, the policy number, term, sum assured, premium amount of Rs. 9,998 paid toward the next installment, and a late fee of Rs. 237.50. The total amount received is Rs. 10,235.50 as acknowledged by the representative of LIC of India, Sohna Branch Office in Sohna, Haryana.

    Copyright:

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

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

    Uploaded by

    Sunder Bisht
    This receipt summarizes the renewal of an insurance policy. It provides details of the policy holder, Asha Bisht, the policy number, term, sum assured, premium amount of Rs. 9,998 paid toward the next installment, and a late fee of Rs. 237.50. The total amount received is Rs. 10,235.50 as acknowledged by the representative of LIC of India, Sohna Branch Office in Sohna, Haryana.

    Copyright:

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

    Collecting Branch : EPS1 Servicing Branch : 1041

    E-mail : [email protected] LIC of India, Sohna Br Office


    Phone : +91-022-1251 Opp Sant Nirankari Public School
    Near Syndicate Bank.
    Transaction No. : PR1254357600011415 Sohna Dist Gurgaon Haryana
    Sohna
    Date ( Time ): 30/01/2015 ( 01:24:52 )

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 10235.50 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Asha Bisht

    Towards the following

    Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax Branch
    Name Term Mode Due Fr Late Fee Edu Cess Next Due
    Agency Code D.O.C. Sum Assured Due To Total Amt
    333751189 75 9,998.00 1 9,998.00 0.00 1041
    Asha 20 YLY 10/14 237.50 0.00 10/15
    110751041 18/10/2012 1,60,000.00 10/14 10,235.50
    Page Total (Rs) 9,998.00 9,998.00 0.00
    237.50 0.00
    10,235.50
    Grand Total (Rs) 9,998.00 9,998.00 0.00
    237.50 0.00
    10,235.50

    RUPEES TEN THOUSAND TWO HUNDRED THIRTY-FIVE AND FIFTY PAISE ONLY

    Asha Bisht A.Mu.Shu.2014/3033/C.R.490/M-1 Dated 26/11/2014


    W/O Sh. Sunder Singh
    A-111 Rajan Vihar Hastsal
    Uttam Nagar ,West Delhi
    110059

    This receipt is electronically generated.

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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