Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

Collecting Branch : EPS1

E-mail : bo_eps1@licindia.com
Phone : +91-022-1251
Transaction No. : PR0065948700011314
Date ( Time ): 25/04/2013 ( 21:48:59 )
Servicing Branch : 38A
LIC of India,Naila Br Office
Station Road Naila
Dt Bilaspur.
M P
Naila
495665
RENEWAL PREMIUM ACKNOWLEDGEMENT
Received with thanks Rs. 10000.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Sri Sanjay Barua
Towards the following
Policy No
Name
Agency Code
Plan
Term
D.O.C.
Inst. Prem(Rs)
Mode
Sum Assured
No Of Inst
Due Fr
Due To
Total Premium
Late Fee
Service Tax
Edu Cess
Total Amt
Branch
Next Due
385356762
S Barua
0132538A
180
20
17/04/2007
10,000.00
YLY
1,00,000.00
1
04/13
04/13
10,000.00
0.00
0.00
0.00
10,000.00
38A
04/14
Page Total (Rs) 10,000.00 10,000.00
0.00
0.00
0.00
10,000.00
Grand Total (Rs) 10,000.00 10,000.00
0.00
0.00
0.00
10,000.00
FUND TYPE: Growth
UNITS ALLOCATED WILL BE INTIMATED SEPARATELY IN THIS POLICY. THE INVESTMENT RISK IN
INVESTMENT PORTFOLIO IS BORNE BY THE P/HOLDER.
RUPEES TEN THOUSAND ONLY
Sri Sanjay Barua
S/O Sri M.Barua
Qn-13,Rly Colony,Naila
Dt.Janjgir-Champa Cg
495668
Payment Acknowledgement generated through Online
Portal on 25-Apr-2013 Time : 21:50:55. Digitally Signed
Premium Receipt sent by email
This receipt is electronically generated.
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