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The document is a renewal premium receipt for an LIC insurance policy held by Jasmita Meher, acknowledging receipt of Rs. 7,452 towards renewal of her policy number 573750360. The receipt provides details of the policy such as the plan, sum assured, installment amount, due dates, and branch details. It also lists Jasmita Meher's contact details and confirms that the payment was made through an online payment gateway.
The document is a renewal premium receipt for an LIC insurance policy held by Jasmita Meher, acknowledging receipt of Rs. 7,452 towards renewal of her policy number 573750360. The receipt provides details of the policy such as the plan, sum assured, installment amount, due dates, and branch details. It also lists Jasmita Meher's contact details and confirms that the payment was made through an online payment gateway.
The document is a renewal premium receipt for an LIC insurance policy held by Jasmita Meher, acknowledging receipt of Rs. 7,452 towards renewal of her policy number 573750360. The receipt provides details of the policy such as the plan, sum assured, installment amount, due dates, and branch details. It also lists Jasmita Meher's contact details and confirms that the payment was made through an online payment gateway.
Collecting Branch : EPS1 Servicing Branch : LIC of India, Bhawani Patna
Main Rd Bhawani Patna.
Transaction No : 9030434 Dt Kalahandi Orissa, Date ( Time ): 30/07/2019 ( 02:23:46 ) Bhawanipatna,766011 bo_eps1@licindia.com Receipt No : PR0903043400011920 HelpDesk: +91-022-1251
RENEWAL PREMIUM RECEIPT
Received with thanks ` 7,452.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Jasmita Meher
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 Agency Code D.O.C. Sum Assured Due To CD Charges Total Amt Reg. No. (`) (`) (`) 573750360 179 7,452.00 1 7,452.00 0.00 509 Jasmita Meher 20 HLY 07/19 0.00 0.0 01/20 01671509 11/07/2012 07/19 0.00 7,452.00 21AAACL0582H1ZY 4,00,000
Page Total (`) 7,452.00 7,452.00 0.00
0.00 0.00 0.00 7,452.00 Grand Total (`) 7,452.00 7,452.00 0.00 0.00 0.00 0.00 7,452.00
GST borne by LIC of India ` 167.68
SEVEN THOUSAND FOUR HUNDRED FIFTY TWO RUPEES AND ZERO PAISE ONLY