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 20/07/201 1
604623718 Dillipoleswar C 20/01/2014 59,500.00 01/07/2019 EPS1 73H
9 Hly
20/01/2020 20/01/202 1 02/01/2020
604623718 Dillipoleswar C 20/01/2014 59,500.00 EPS1 73H
0 Hly

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 2019-2020.

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