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Collecting Branch : EPS1 Servicing Branch : 529

E-mail : bo_eps1@licindia.com LIC of India, Deoghar


Phone : +91-022-1251 Branch Office
P B No 7 Court Rd
Transaction No. : PR1402942200022654 Deoghar- 814112
Date ( Time ): 28/06/2016 ( 17:40:19 )

RENEWAL PREMIUM ACKNOWLEDGEMENT

Received with thanks Rs. 65345.00 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Rahul Kumar

Towards the following

Policy No Plan Inst. Prem(Rs) No Of Inst Total Premium Service Tax Branch
Name Term Mode Sum Due Late Fee Edu Cess Next Due
Agency Code D.O.C. Assured Fr Total Amt
51929 23 42 179 65,345.00 1 65,345.00 0.00 529
Kumar R 16 YLY 07/16 0.00 0.00 07/17
04375 46 7K 28/06 /20 14 22,50,000.00 07/16 65,345.00
Page Total (Rs) 65,345.00 65,345.00 0.00
0.00 0.00
65,345.00
Grand Total (Rs) 65,345.00 65,345.00 0.00
0.00 0.00
65,345.00

RUPEES SIXTY FIVE THOUSAND THREE HUNDRED FORTY FIVE


ONLY

Rahul Kumar Payment Acknowledgement generated through Online


S/O-Mr Nilkantha Prasad Portal on 28-Jun-2016 Time : 17:41:29.
At-Ambedkar chowk
Barmasia,
Deoghar-814112

This receipt is electronically generated.

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi


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