Download - PrmPayRcpt-PR0173721700011516.pdf
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Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi
Collecting Branch : EPS1E-mail : [email protected] : +91-022-1251
Transaction No. : PR0173721700011516
Date ( Time ): 16/05/2015 ( 09:00:44 )
Servicing Branch : 92HLIC of India, Kopri Branch OfficeBhivra Bhavan Nr Mangala Hindi HighSchool Above Thane Janata Sahakari BankThane (East) Dist-ThaneThane(East)Maharashtra
RENEWAL PREMIUM RECEIPT
Received with thanks Rs. 7292.00 through Payment Gateway over the Internet from:
Smt./Ms./Shri : Shri.Hande Pramod Bhimrao
Towards the following
Policy NoName
Agency Code
PlanTerm
D.O.C.
Inst. Prem(Rs)Mode
Sum Assured
No Of InstDue FrDue To
Total PremiumLate Fee
Service TaxEdu CessTotal Amt
BranchNext Due
922992838Hande P B
0093892H
15279
28/05/2004
7,292.00YLY
2,00,000.00
105/1505/15
7,292.000.00
0.000.00
7,292.00
92H05/16
Page Total (Rs) 7,292.00 7,292.000.00
0.000.00
7,292.00Grand Total (Rs) 7,292.00 7,292.00
0.000.000.00
7,292.00
RUPEES SEVEN THOUSAND TWO HUNDRED NINETY-TWO ONLY
Shri.Hande Pramod Bhimrao305,Deep Chs Ltd,Plot No.44Sector No.14,Koparkhairane,Navi-Mumbai400702
A.Mu.Sh.2015/610/CR 157/M-1 Dated 04/04/2015
This receipt is electronically generated.
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