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Life Insurance Corporation of India

PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054
PREMIUM PAID STATEMENT FOR THE YEAR 2013-2014
DATE OF ISSUE: 24/02/2014

The following premia have been received under the following life
insurance policies of Sri.Pradeepmon T.G.

Policy No.

Dt of
Due
Commencement From

Number Of
Instalments Premium
Received Collecting Servicing Email id of
Amount
Due To and
Date
Branch
Branch Servicing Branch
Received
Payment
Mode

391306346 28/02/2002

08/2013 08/2013 1 HLY

3,597.00 05/09/2013 EPS1

795

bo_795@licindia.com

771833998 28/03/2009

10/2013 10/2013 1 MLY

307.00

25/10/2013 EPS1

78A

bo_78A@licindia.com

392023991 10/12/2007

07/2013 10/2013 4 HLY

3,184.00 25/10/2013 EPS1

78A

bo_78A@licindia.com

392023991 10/12/2007

11/2013 11/2013 1 HLY

796.00

25/10/2013 EPS1

78A

bo_78A@licindia.com

771833998 28/03/2009

07/2013 09/2013 3 MLY

921.00

25/10/2013 EPS1

78A

bo_78A@licindia.com

392023991 10/12/2007

12/2013 12/2013 1 HLY

4,482.00 17/12/2013 EPS1

78A

bo_78A@licindia.com

771833998 28/03/2009

11/2013 11/2013 1 MLY

307.00

78A

bo_78A@licindia.com

391306346 28/02/2002

02/2014 02/2014 1 HLY

3,597.00 14/02/2014 EPS1

795

bo_795@licindia.com

771833998 28/03/2009

12/2013 01/2014 2 MLY

614.00

78A

bo_78A@licindia.com

17/12/2013 EPS1
14/02/2014 EPS1

All the above payments are subject to cheque realisation, wherever applicable.
Total amount received towards premium for the policies listed above is Rs.17,805.00 for the financial year
2013-2014.
This document is electronically generated, for any queries please contact the servicing branch of respective
policies.

2/24/2014 9:53 AM