🏥 LIC Branch Details
👤 Policyholder Details
💰 Premium Payment Details
📝 Additional Details
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LIC Divisional Office
Branch Address
Division: Mumbai Division
Region: Western Region
LIC of India
Est. 1956
IRDAI Regulated
PREMIUM PAYMENT RECEIPT
Policyholder Information
Policyholder Name-
Father/Husband Name-
Policy Number-
Policy TypeEndowment Assurance
Policy Details
Sum Assured₹ 5,00,000
Policy Term20 Years
Premium Paying Term15 Years
Maturity Date-
Premium Amount
₹ 12,500
Rupees Twelve Thousand Five Hundred Only
Payment Information
Premium
₹ 12,500
GST (18%)
₹ 1,875
Total Paid
₹ 14,375
Frequency
Yearly
Payment ModeOnline - NEFT/RTGS
Payment DateDD/MM/YYYY
Receipt NumberREC-2024-XXXXX
Agent / Development Officer
Agent Code-
Agent Name-
LIC OF INDIA