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 2019-2020 DATE OF ISSUE :17/01/2020

The following premium has been received for life insurance policies from the userid of Ch Dillipoleswar Rao

Number of Premium/ Received Collecting Servicing

Instalments Additional Date Branch Branch
and Premium
Policy No. Name Due To Payment Amount
Dt. Of Due mode Received
Commencement From (`)
20/07/2019 1
604623718 Dillipoleswar C 20/01/2014 20/07/2019 Hly 59,500.00 01/07/2019 EPS1 73H

20/01/2020 20/01/2020 1 02/01/2020

604623718 Dillipoleswar C 20/01/2014 Hly 59,500.00 EPS1 73H

All the above payments are subject to cheque realisation, wherever applicable.
Total amount received towards premium for the policies listed above is 1,19000 .00 for the financial year 201 9-2020.

<policy no>" and send it to 9222492224. Our Customerzone Official will get in touch with you shortly.