Transcript
  • 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.

    Page 1of1