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

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    Venu Gopal
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    J. Vinay paid Rs. 1,465 through an online payment gateway to renew their life insurance policy. The policy details include the policy number, plan, installment premium amount, number of installments due, total premium due, service tax, education cess, and next due date. The receipt acknowledges receipt of the payment toward renewal of the specified life insurance policy.

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    PrmPayRcpt-PR0303621700011617

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    J. Vinay paid Rs. 1,465 through an online payment gateway to renew their life insurance policy. The policy details include the policy number, plan, installment premium amount, number of installments due, total premium due, service tax, education cess, and next due date. The receipt acknowledges receipt of the payment toward renewal of the specified life insurance policy.

    Copyright:

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

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

    Uploaded by

    Venu Gopal
    J. Vinay paid Rs. 1,465 through an online payment gateway to renew their life insurance policy. The policy details include the policy number, plan, installment premium amount, number of installments due, total premium due, service tax, education cess, and next due date. The receipt acknowledges receipt of the payment toward renewal of the specified life insurance policy.

    Copyright:

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

    Collecting Branch : EPS1 Servicing Branch : 790

    E-mail : bo_eps1@licindia.com LIC of India, Chitradurga Branch Office


    Phone : +91-022-1251 Near K.S.R.T.C.Dept.
    P.B.Road
    Transaction No. : PR0303621700011617 Chitradurga
    Chitradurga
    Date ( Time ): 12/06/2016 ( 17:29:44 ) 577501

    RENEWAL PREMIUM RECEIPT

    Received with thanks Rs. 1465.00 through Payment Gateway over the Internet from:

    Smt./Ms./Shri : J.Vinay

    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
    629202625 149 1,431.00 1 1,431.00 0.00 790
    Vinay J 73 QLY 03/16 34.00 0.00 06/16
    02355790 28/03/2009 1,00,000.00 03/16 1,465.00
    Page Total (Rs) 1,431.00 1,431.00 0.00
    34.00 0.00
    1,465.00
    Grand Total (Rs) 1,431.00 1,431.00 0.00
    34.00 0.00
    1,465.00

    RUPEES ONE THOUSAND FOUR HUNDRED SIXTY-FIVE ONLY

    J.Vinay
    S/O D.B.Jagadeeshappa
    Vybhava Vnilaya,Nrupathunga Extn,
    Bank Colony,Chitradurga
    577501

    This receipt is electronically generated.

    Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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