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Collecting Branch : EPS1 Servicing Branch : LIC of India,

S Kota Branch Office


Transaction No : 14637102
Gandhinagar
Date ( Time ): 10/12/2018 ( 10:07:46 ) Srungavarapukota,531145
bo_eps1@licindia.com
Receipt No : PR1463710200012718
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received With Thanks ` 149,521.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : volla srikanth


Towards The Following :

Policy No Plan Inst. Premium No Of Inst Total Premium Tax* Branch


Name Term Mode Due From Late Fee Total Amt Next Due
Agency Code D.O.C. Sum Assured Due To CD Charges Reg. No.
(`) (`) (`)
697103462 149 149,521.00 1 149,521.00 0.00 69T
Volla 75 Yly 12/19 0.00 149,521.00 12/19
Srikanth
0003169T 13/12/2015 30,00,000 12/19 0.00

Page Total (`) 149,521.00 149,521.00 0.00


0.00 149,521.00
0.00
Grand Total (`) 149,521.00 149,521.00 0.00
0.00 149,521.00
0.00

ONE LAKH FORTY NINE THOUSAND FIVE HUNDRED TWENTY ONE RUPEES AND ZERO PAISE ONLY

Volla srikanth Consolidated Stamp Duty paid

S/O Satti raju


Rangarayapurm Vl Po
Bobbili (MD)Vzm Dt

535558 Payment Acknowledgement generated through


Online Portal on 10-Dec-18 Time : 10:12:49.
Mobile: 9502527369
Email:
srikanthvolla@gmail.com

This receipt is electronically generated.

Har Pal Aapke Saath!

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