Collecting Branch : EPS1 Servicing Branch : LIC of India, Indiranagar Br

Jeevan Jyothi
Transaction No : 15287024
NEXT TO BDA Complex III
Date ( Time ): 11/11/2018 ( 14:14:49 ) Bangalore,560038
bo_eps1@licindia.com
Receipt No : PR1528702400011819
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 3,622.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : K.Krishnareddy
towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch

Name Term Mode Due From Late Fee SGST/UTGST Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(`) (`) (`)
363532337 75 3,622.00 1 3,622.00 0.00 61F
K.Krishnareddy 20 HLY 11/18 0.00 0.00 05/19
0053661F 27/05/2006 1,00,000 11/18 0.00 3,622.00

Page Total (`) 3,622.00 3,622.00 0.00

0.00 0.00
0.00 3,622.00
Grand Total (`) 3,622.00 3,622.00 0.00
0.00 0.00
0.00 3,622.00

GST borne by LIC of India ` 81.50

THREE THOUSAND SIX HUNDRED TWENTY TWO RUPEES AND ZERO PAISE ONLY

K.Krishnareddy

Payment Acknowledgement generated through

Online Portal on 11-Nov-18 Time : 14:22:14.
Mobile: 9901985404
Email: krishnabharathipb@gmail.com

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!