Scribd
Upload
1K views1 page

Vivek Lic

This receipt summarizes a life insurance policy renewal payment made through a collecting bank. The policy holder, Vivek Kumar, paid Rs. 7,953.90 towards renewal of policy number 559954963. The payment included a renewal premium of Rs. 7,439, a late fee of Rs. 294.50, and applicable GST of Rs. 220.40. The next premium due date for the policy is January 28, 2020.

Uploaded by

ranjeet kumar
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
1K views1 page

Vivek Lic

This receipt summarizes a life insurance policy renewal payment made through a collecting bank. The policy holder, Vivek Kumar, paid Rs. 7,953.90 towards renewal of policy number 559954963. The payment included a renewal premium of Rs. 7,439, a late fee of Rs. 294.50, and applicable GST of Rs. 220.40. The next premium due date for the policy is January 28, 2020.

Uploaded by

ranjeet kumar
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

Collecting Bank: CSC eGovernance Services India Ltd.

Branch Code: CBK1 Branch Code : CSC316654230012


PCMC,Network Operating Center,
Reciept No. : 3034162
1st Floor,Jeevan Seva Annexe, Date: 2019-12-21 [Link]
[Link],Santacruz(W), Mumbai-400054
Ref. No.: LICI1920000025004800
SMS: LICHELP "Policy Number" to 9222492224 CSC Ref. No.: 9355182420207465
Phone: +91-022-1251
Email: bo_cbk1@[Link]
GSTN: N

RENEWAL PREMIUM RECIEPT

Received With Thanks Rs. 7,953.90 Through CSC EGovernance Services India Ltd. , Retailer ID: 316654230012
Policy Holder: Shri/Smt. Vivek Kumar
towards the following policy

CGST Branch
Plan Inst. Premium No. of Inst. Total Premium
Policy No.
SGST/UTGST Next Due
Term Mode Due From Late Fee
Name
Total Amt (Rs) Reg. No.
D.O.C Sum Assured (Rs) Due To CDA Charges
Agency Code

559954963 7,439.00 1 7,439.00 110.20 51A

Vivek Kumar Half Yearly 28/07/2019 294.50 110.20 28/01/2020

28/07/2019 0.00 220.40 10AAACL0582H2Z0

7,439.00 110.20
Page Total (Rs) 7,439.00 294.50 110.20
0.00 220.40

7,439.00 110.20
Grand Total (Rs) 7,439.00 294.50 110.20
0.00 220.40

In Words (Rupees) : Seven Thousand, Nine Hundred Fifty-Three Rupees And Nine Paise

Mudrank No.: CSD/328/2019/646/19 dtd. 15/02/2019

Retailer Signature
Retailer ID : 316654230012
Kunal Kumar

LIC PREMIUM PAYMENT FACILITY IS FREE OF COST. POLICY HOLDERS NEED NOT TO PAY ANY EXTRA AMOUNT AS SERVICE CHARGE OF
RETAILER/FRANCHISEES

Retailer : CSC e-Governanace Services India Ltd. 238, Okhla Industrial State, Phase-III, New Delhi-110020
Computer generated receipt. Receipt validity subject to payment realization.
PRINTED ON | 21-12-2019 [Link]

You might also like