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

The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 21,439 from Vishal Pandita towards the renewal of 5 insurance policies. The policies have plan types ranging from 108 to 149 and annual premium amounts ranging from Rs. 2,308 to Rs. 5,933. The receipt provides details of each policy such as the policy number, plan name, sum assured, due date, and agent code.

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30 views2 pages

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

The document is a renewal premium receipt from LIC of India acknowledging receipt of Rs. 21,439 from Vishal Pandita towards the renewal of 5 insurance policies. The policies have plan types ranging from 108 to 149 and annual premium amounts ranging from Rs. 2,308 to Rs. 5,933. The receipt provides details of each policy such as the policy number, plan name, sum assured, due date, and agent code.

Uploaded by

shirin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Collecting Branch : EPS1 Servicing Branch : 871

E-mail : bo_eps1@licindia.com LIC of India, Vadodara City Br I


Phone : +91-022-1251 11nd Floor Navrang Complex
Hotel Utsav Compound.
Transaction No. : PR1888443100051819 Prof Manekrao Rd Vadodara
Vadodara Cbo-1
Date ( Time ): 27/12/2018 ( 09:47:23 ) 390001

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 21439.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Vishal Pandita

Towards the following

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium CGST Branch


Name Term Mode Due Fr Late Fee SGST/UTGST Next Due
Agency D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
Code
873062987 150 2,770.00 1 2,770.00 0.00 871
Pandita Vp 30 YLY 11/18 0.00 0.00 11/19
04343871 28/11/2003 3,00,000.00 11/18 0.00 2,770.00 24AAACL0582H2ZR
873060219 149 5,214.00 1 5,214.00 0.00 871
Pandita V 74 YLY 11/18 0.00 0.00 11/19
04343871 28/11/2003 1,00,000.00 11/18 0.00 5,214.00 24AAACL0582H2ZR
873060218 149 5,214.00 1 5,214.00 0.00 871
Pandita V 74 YLY 11/18 0.00 0.00 11/19
04343871 28/11/2003 1,00,000.00 11/18 0.00 5,214.00 24AAACL0582H2ZR
873062988 133 2,308.00 1 2,308.00 0.00 871
Pandita Vp 25 YLY 11/18 0.00 0.00 11/19
04343871 28/11/2003 50,000.00 11/18 0.00 2,308.00 24AAACL0582H2ZR
873067631 108 5,933.00 1 5,933.00 0.00 871
Pandita V 25 YLY 11/18 0.00 0.00 11/19
04343871 28/11/2003 75,000.00 11/18 0.00 5,933.00 24AAACL0582H2ZR
Page Total (Rs) 21,439.00 21,439.00 0.00
0.00 0.00
0.00 21,439.00
Grand Total (Rs) 21,439.00 21,439.00 0.00
0.00 0.00
0.00 21,439.00

RUPEES TWENTY-ONE THOUSAND FOUR HUNDRED THIRTY-NINE ONLY

Vishal Pandita CSD/64/2018/2366/18 dtd. 26/06/2018


C/O Sanjay Kaul
Flat No 9, Building 14, Atur Park
Koregaon Park, Pune- Maharashtra
411001

This receipt is electronically generated.

Har Pal Aap Ke Saath


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**GST borne by LIC of India is Rs 482.40

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