M. Manimegalan

Har Pal Aapke Sath!

Collecting Center : A***

Transaction No. : 19986487

Date ( Time ): 12/05/2024 ( 17:59:00 )

Branch Code : 76E

LIC of India, Mettur Dam B O,

LIC OF INDIA, BRANCH OFFICE - 76E

NEAR TANSI & RDO OFFICE,

DIST-SALEM (TAMILNADU)., 636401

email: ad5xzf@r.postjobfree.com

Call Center No: 022-********

RENEWAL PREMIUM RECEIPT

Received with thanks Rs. 2,004.00 from policyholder Shri/Smt.M. Manimegalan towards the following policy/ies

Policy No

Name

Revival

(Yes/No)

Plan

Term

D.O.C.

Inst. Prem(Rs)

Mode

Sum Assured

No Of Inst

Due Fr

Due To

Total Premium

Late Fee

CD Chgs +

Xcharge

CGST

SGST*/UTGST

Total Amt

Branch Agency

Code

Next Due

Reg. No.

325248092

Manimegalan M

No

936

25

11/08/2022

1,960.00

MLY

5,00,000.00

1

05/24

05/24

1,960.00

0.00

0.00 + 0.00

22.05

22.05

2,004.10

76E 0069876E

06/24

33AAACL0582H1ZT

Page Total (Rs) 1,960.00 1,960.00

0.00

0.00

22.05

22.05

2,004.10

Grand Total (Rs) 1,960.00 1,960.00

0.00

0.00

22.05

22.05

2,004.10

RUPEES TWO THOUSAND FOUR ONLY

Paid by Cash/Card/SR :2,004.10

Paid by Cheque :0.00

Cheque No/ChequeDate : 0/

M. Manimegalan

S/O Manickam

5-24, Sambiliyan Street, Pallipatti Po

Mettur Tk Salem Dt

636458.

Mobile:

For Life Insurance Corporation of India,

M.Anbalagan(0069876E)

*SGST also includes cess amount of Rs. 0.00.

GST and Cess borne by LIC of India is Rs 0.00

Check the authenticity of the receipt using following url: https://services.licindia.in/validatereceipt

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