Latha 2

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Collecting Center : A002 Branch Code : 71W

LIC of India, Chennai City Br-XVIII


Transaction No. : 18789607 LIC OF INDIA, BRANCH OFFICE - 71W
CHENNAI CBO-18,
Date ( Time ): 07/05/2024 ( 11:33:44 ) CHENNAI., 600011
email: [email protected]
Call Center No: 022-68276827

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 5,473.00 from policyholder Shri/Smt.Sathishkumar.P


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.
328085962 921 5,237.00 1 5,237.00 117.83 71W |0350571W
Sathishkumar P 25 MLY 05/24 0.00 117.83 06/24
No 15/12/2023 10,00,000.00 05/24 0.00 + 0.00 5,472.66 33AAACL0582H1ZT
Page Total (Rs) 5,237.00 5,237.00 117.83
0.00 117.83
0.00 5,472.66
Grand Total (Rs) 5,237.00 5,237.00 117.83
0.00 117.83
0.00 5,472.66

RUPEES FIVE THOUSAND FOUR HUNDRED SEVENTY-THREE ONLY


Paid by Cash/Card/SR :5,472.66
Paid by Cheque :0.00
Cheque No/ChequeDate : 0/

Sathishkumar.P Consolidated Stamp Duty Paid


No 9, Vanavan Nagar, Ist Street, LOA/CSD/16/2023/4476 dtd 06/11/2023 valid from
Puthagaram,Tiruvallur District, 10/11/2023 to 30/06/2024
Chennai.
600099.
Mobile: For Life Insurance Corporation of India,
R.Ayyachamy,(566123)

*SGST also includes cess amount of Rs. 0.00.


GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

Har Pal Aapke Sath!!

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