Collecting Branch : EPS1

E-mail : bo_eps1@licindia.com
Phone : +91-022-1251

Servicing Branch : 659

LIC of India, Cuddapah Branch Office
Nagarajupet P B No 52.
Cuddapah A P

Transaction No. : PR1129133000011516

Cuddapah
516001

Date ( Time ): 21/12/2015 ( 19:14:46 )

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 1442.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Sri Kota Nala Manikanta Kumar
Towards the following
Policy No
Name
Agency Code
650928241

Plan
Term
D.O.C.
102
K N Manikantaku Mar
30
01307659
17/12/1991
Page Total (Rs)

Grand Total (Rs)

Inst. Prem(Rs)
Mode
Sum Assured
1,442.00
HLY
1,00,000.00
1,442.00

No Of Inst
Due Fr
Due To
1
12/15
12/15

Total Premium
Late Fee

1,442.00

1,442.00
0.00
1,442.00
0.00
1,442.00
0.00

Service Tax
Edu Cess
Total Amt
0.00
0.00
1,442.00
0.00
0.00
1,442.00
0.00
0.00
1,442.00

Branch
Next Due
659
06/16

RUPEES ONE THOUSAND FOUR HUNDRED FORTY-TWO ONLY

Sri Kota Nala Manikanta Kumar
S/O K Narasimha Rao
Sri Vasavi Traders, 17/205 Upstairs
Mundy Bazar, Kadapa.
516001
This receipt is electronically generated.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi

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