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    PremiumReceipt PR4052491400012324

    Uploaded by

    anwarkhan.akms

    Copyright:

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

    PremiumReceipt PR4052491400012324

    Uploaded by

    anwarkhan.akms
    1 views1 page

    Original Title

    PremiumReceipt_PR4052491400012324_ (1)

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    © © All Rights Reserved

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    Copyright:

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

    PremiumReceipt PR4052491400012324

    Uploaded by

    anwarkhan.akms

    Copyright:

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

    anwarkhan.

    ak

    261334652_1
    Collecting Branch : EPS1 Servicing Branch : LIC of India, Tehri Branch
    LIC OF INDIA,TEHRI BRANCH OFFICE
    Transaction No : 40524914
    OFFICE COMPLEX.,NEW TEHRI
    Date ( Time ): 11/03/2024 ( 22:05:10 ) ,0
    Email: [email protected]
    Receipt No : PR4052491400012324
    Call Center No: 022 6827 6827

    RENEWAL PREMIUM RECEIPT

    Received with thanks ` 8,692.32 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : Anwar Khan


    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) (`) (`)
    261334652 936 / 21 8,318.00 1 8,318.00 187.16 25C
    Anwar Khan 28/09/2023 HLY 03/24 0.00 187.16 09/24
    No 03/24 0.00 8,692.32 05AAACL0582H3ZQ
    0256625C 3,00,000

    Page Total (`) 8,318.00 8,318.00 187.16


    0.00 187.16
    0.00 8,692.32
    Grand Total (`) 8,318.00 8,318.00 187.16
    0.00 187.16
    0.00 8,692.32

    EIGHT THOUSAND SIX HUNDRED NINETY TWO RUPEES AND THIRTY TWO PAISE ONLY

    Anwar Khan
    S/O Sri Fateh Khan
    Sira Fort Hotel Sarovar Portico
    Shilp Gram Rico Jaismer

    345001 Payment Acknowledgement generated through


    Online Portal on 19-Jun-24 Time : 15:50:26.
    Mobile: 99******95
    Email: an********[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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