PaymentReceipt_46469697_

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drpankajkumar

298157396_1

Collecting Branch : EPS1 Servicing Branch : LIC of India, Bansdih Br Office


LIC OF INDIA,BANSDIH BR OFFICE
Transaction No : 46469697
BANSDIH PO.,
Date ( Time ): 12/08/2024 ( 17:02:59 ) ,277202
Email: [email protected]
Receipt No : PR4646969700032425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 31,704.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pankaj
towards the following :
Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name Mode Due From Late Fee SGST/UTGST Next Due
D.O.C.
Sum Assured Due To CD Charges Total Amt
Revival Agency Code Reg. No.
(Yes/No) (`) (`) (`)
298157396 14 / 16 31,704.00 1 31,704.00 0.00 28V
Pankaj Kumar 28/08/2013 YLY 08/24 0.00 0.00 08/25
No 07821282 5,00,000 08/24 0.00 31,704.00 09AAACL0582HFZ6

Page Total (`) 31,704.00 31,704.00 0.00


0.00 0.00
0.00 31,704.00
Grand Total (`) 31,704.00 31,704.00 0.00
0.00 0.00
0.00 31,704.00

GST borne by LIC of India ` 713.34

THIRTY ONE THOUSAND SEVEN HUNDRED FOUR RUPEES AND ZERO PAISE ONLY

Pankaj
Consolidated Stamp Duty Paid
S/O Shri Ram Raj Tiwari
Vill Po-Bansfih Consolidated Stamp Duty paid vide order no. LOA/ENF-
Dt-Ballia Up

274000 Payment Acknowledgement generated through


Online Portal on 12-Aug-24 Time : 17:06:15.
Mobile: 94******87
Email: dr********[email protected]
For Payment related queries-Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Page 1 of 1
drpankajkumar
297461030_2

Collecting Branch : EPS1 Servicing Branch : LIC of India, Bansdih Br Office


LIC OF INDIA,BANSDIH BR OFFICE
Transaction No : 46469697
BANSDIH PO.,
Date ( Time ): 12/08/2024 ( 17:02:59 ) ,277202
Email: [email protected]
Receipt No : PR4646969700032425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 14,812.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pankaj
towards the following :
Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name Mode Due From Late Fee SGST/UTGST Next Due
D.O.C.
Sum Assured Due To CD Charges Total Amt
Revival Agency Code Reg. No.
(Yes/No) (`) (`) (`)
297461030 149 / 68 14,812.00 1 14,812.00 0.00 28V
Pankaj 28/08/2012 YLY 08/24 0.00 0.00 08/25
No 07821282 2,00,000 08/24 0.00 14,812.00 09AAACL0582HFZ6

Page Total (`) 14,812.00 14,812.00 0.00


0.00 0.00
0.00 14,812.00
Grand Total (`) 14,812.00 14,812.00 0.00
0.00 0.00
0.00 14,812.00

GST borne by LIC of India ` 333.28

FOURTEEN THOUSAND EIGHT HUNDRED TWELVE RUPEES AND ZERO PAISE ONLY

Pankaj
Consolidated Stamp Duty Paid
S/O Shri Ram Raj Tiwari
Vill Po-Bansfih Consolidated Stamp Duty paid vide order no. LOA/ENF-
Dt-Ballia Up

274000 Payment Acknowledgement generated through


Online Portal on 12-Aug-24 Time : 17:06:15.
Mobile: 94******87
Email: dr********[email protected]
For Payment related queries-Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Page 1 of 1
drpankajkumar
283327183_3

Collecting Branch : EPS1 Servicing Branch : LIC of India, Bansdih Br Office


LIC OF INDIA,BANSDIH BR OFFICE
Transaction No : 46469697
BANSDIH PO.,
Date ( Time ): 12/08/2024 ( 17:02:59 ) ,277202
Email: [email protected]
Receipt No : PR4646969700032425
Call Center No: 022 6827 6827

RENEWAL PREMIUM RECEIPT

Received with thanks ` 1,565.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Pankaj
towards the following :
Policy No Plan / Term Inst. Premium No Of Inst Total Premium CGST Branch
Name Mode Due From Late Fee SGST/UTGST Next Due
D.O.C.
Sum Assured Due To CD Charges Total Amt
Revival Agency Code Reg. No.
(Yes/No) (`) (`) (`)
283327183 14 / 30 1,565.00 1 1,565.00 0.00 28V
Sri Pankaj 28/02/2003 HLY 08/24 0.00 0.00 02/25
No 05460286 1,00,000 08/24 0.00 1,565.00 09AAACL0582HFZ6

Page Total (`) 1,565.00 1,565.00 0.00


0.00 0.00
0.00 1,565.00
Grand Total (`) 1,565.00 1,565.00 0.00
0.00 0.00
0.00 1,565.00

GST borne by LIC of India ` 35.22

ONE THOUSAND FIVE HUNDRED SIXTY FIVE RUPEES AND ZERO PAISE ONLY

Pankaj
S/O Shri Ram Raj Tiwari
Vill Po-Bansfih
Dt-Ballia Up

274000 Payment Acknowledgement generated through


Online Portal on 12-Aug-24 Time : 17:06:15.
Mobile: 94******87
Email: dr********[email protected]
For Payment related queries-Email: [email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!


Page 1 of 1

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