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Received With Thanks ' 4,892.35 Through Payment Gateway Over The Internet From

This document is a receipt for renewal premium payment of Rs. 4,892.35 made through an online payment gateway by Shivraj Popat Jadhav for their life insurance policy number 965428482. The payment is for one installment of the annual premium of Rs. 4,657 along with applicable taxes and late fees totaling Rs. 4,892.35. The receipt acknowledges receipt of the payment and provides key details of the policyholder and policy.

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Shivraj Jadhav
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29 views1 page

Received With Thanks ' 4,892.35 Through Payment Gateway Over The Internet From

This document is a receipt for renewal premium payment of Rs. 4,892.35 made through an online payment gateway by Shivraj Popat Jadhav for their life insurance policy number 965428482. The payment is for one installment of the annual premium of Rs. 4,657 along with applicable taxes and late fees totaling Rs. 4,892.35. The receipt acknowledges receipt of the payment and provides key details of the policyholder and policy.

Uploaded by

Shivraj Jadhav
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 : LIC of India, Malegaon Branch

335/A-1 Sangmeshwar.
Transaction No : 9539466
Malegaon Dist Nashik,
Date ( Time ): 12/06/2020 ( 16:35:29 ) Malegaon,423203
[email protected]
Receipt No : PR0953946600012021
HelpDesk: +91-022-1251

RENEWAL PREMIUM RECEIPT

Received with thanks ` 4,892.35 through Payment Gateway over the Internet from:

Smt./Ms./Shri : Shivraj Popat Jadhav


towards the following :

Policy No Plan Inst. Premium No Of Inst Total Premium CGST Branch


Name Term Mode Due From Late Fee SGST/UTGST Next Due
Revival D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No.
(Yes/No) (`) (`) (`)
965428482 827 4,657.00 1 4,657.00 62.35 963
Shivraj Popat 16 HLY 03/20 110.65 62.35 09/20
Yes 27/03/2017 03/20 0.00 4,892.35 27AAACL0582H1ZM
2,00,000

Page Total (`) 4,657.00 4,657.00 62.35


110.65 62.35
0.00 4,892.35
Grand Total (`) 4,657.00 4,657.00 62.35
110.65 62.35
0.00 4,892.35

FOUR THOUSAND EIGHT HUNDRED NINETY TWO RUPEES AND THIRTY FIVE PAISE ONLY

Shivraj Popat Jadhav


At/Post.Tisgaon
Tal.Deola
Dist. Nashik

423110 Payment Acknowledgement generated through


Online Portal on 12-Jun-20 Time : 16:37:05.
Mobile: 73******55
Email: sh********[email protected]

This receipt is electronically generated and no signature is required.

Har Pal Aapke Saath!

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