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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 2020-2021

DATE OF ISSUE :18/09/2021

The following premium has been received for life insurance policies of Ravindar A

Premium/ Service
Number of Tax / GST
Instalments Additional Received
Policy Number Date Of Due From Amount Coll. Br.
and Premium Date
Policy Holder's Name Commence. Due To Received * Serv. Br.
Payment Amount
mode (`) (`)
706935979 26/03/2020 1 PCMC
26/09/2013 1,229.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935979 26/06/2020 1 PCMC


26/09/2013 1,229.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935979 26/09/2020 1 PCMC


26/09/2013 1,229.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935979 26/12/2020 1 PCMC


26/09/2013 1,229.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935980 26/03/2020 1 PCMC


26/09/2013 1,162.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935980 26/06/2020 1 PCMC


26/09/2013 1,162.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935980 26/09/2020 1 PCMC


26/09/2013 1,162.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935980 26/12/2020 1 PCMC


26/09/2013 1,162.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935981 26/03/2020 1 PCMC


26/09/2013 1,102.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935981 26/06/2020 1 PCMC


26/09/2013 1,102.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935981 26/09/2020 1 PCMC


26/09/2013 1,102.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935981 26/12/2020 1 PCMC


26/09/2013 1,102.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935982 26/03/2020 1 PCMC


26/09/2013 1,051.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935982 26/06/2020 1 PCMC


26/09/2013 1,051.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935982 26/09/2020 1 PCMC


26/09/2013 1,051.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935982 26/12/2020 1 PCMC


26/09/2013 1,051.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725
706935983 26/03/2020 1 PCMC
26/09/2013 1,000.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935983 26/06/2020 1 PCMC


26/09/2013 1,000.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935983 26/09/2020 1 PCMC


26/09/2013 1,000.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935983 26/12/2020 1 PCMC


26/09/2013 1,000.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935984 26/03/2020 1 PCMC


26/09/2013 954.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935984 26/06/2020 1 PCMC


26/09/2013 954.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935984 26/09/2020 1 PCMC


26/09/2013 954.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935984 26/12/2020 1 PCMC


26/09/2013 954.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935985 26/03/2020 1 EPS1


26/09/2013 910.00 0.00 25/04/2020
A Ravindar 26/03/2020 Qly 725

706935985 26/06/2020 1 PCMC


26/09/2013 910.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935985 26/09/2020 1 PCMC


26/09/2013 910.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935985 26/12/2020 1 PCMC


26/09/2013 910.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935986 26/03/2020 1 PCMC


26/09/2013 870.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935986 26/06/2020 1 PCMC


26/09/2013 870.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935986 26/09/2020 1 PCMC


26/09/2013 870.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935986 26/12/2020 1 PCMC


26/09/2013 870.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935987 26/03/2020 1 PCMC


26/09/2013 832.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935987 26/06/2020 1 PCMC


26/09/2013 832.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935987 26/09/2020 1 PCMC


26/09/2013 832.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935987 26/12/2020 1 PCMC


26/09/2013 832.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935988 26/03/2020 1 PCMC


26/09/2013 797.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935988 26/06/2020 1 PCMC


26/09/2013 797.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935988 26/09/2020 1 PCMC


26/09/2013 797.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935988 26/12/2020 1 PCMC


26/09/2013 797.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935989 26/03/2020 1 PCMC


26/09/2013 765.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935989 26/06/2020 1 PCMC


26/09/2013 765.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935989 26/09/2020 1 PCMC


26/09/2013 765.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725
706935989 26/12/2020 1 PCMC
26/09/2013 765.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935990 26/03/2020 1 PCMC


26/09/2013 735.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935990 26/06/2020 1 PCMC


26/09/2013 735.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935990 26/09/2020 1 PCMC


26/09/2013 735.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935990 26/12/2020 1 PCMC


26/09/2013 735.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935991 26/03/2020 1 PCMC


26/09/2013 707.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935991 26/06/2020 1 PCMC


26/09/2013 707.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935991 26/09/2020 1 PCMC


26/09/2013 707.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935991 26/12/2020 1 PCMC


26/09/2013 707.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935992 26/03/2020 1 PCMC


26/09/2013 681.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935992 26/06/2020 1 PCMC


26/09/2013 681.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935992 26/09/2020 1 PCMC


26/09/2013 681.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935992 26/12/2020 1 PCMC


26/09/2013 681.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935993 26/03/2020 1 PCMC


26/09/2013 656.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935993 26/06/2020 1 PCMC


26/09/2013 656.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935993 26/09/2020 1 PCMC


26/09/2013 656.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935993 26/12/2020 1 PCMC


26/09/2013 656.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935994 26/03/2020 1 PCMC


26/09/2013 657.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935994 26/06/2020 1 PCMC


26/09/2013 657.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935994 26/09/2020 1 PCMC


26/09/2013 657.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935994 26/12/2020 1 PCMC


26/09/2013 657.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935995 26/03/2020 1 PCMC


26/09/2013 636.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935995 26/06/2020 1 PCMC


26/09/2013 636.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935995 26/09/2020 1 PCMC


26/09/2013 636.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935995 26/12/2020 1 PCMC


26/09/2013 636.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935996 26/03/2020 1 EPS1


26/09/2013 616.00 0.00 25/04/2020
A Ravindar 26/03/2020 Qly 725

706935996 26/06/2020 1 PCMC


26/09/2013 616.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725
706935996 26/09/2020 1 PCMC
26/09/2013 616.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935996 26/12/2020 1 PCMC


26/09/2013 616.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935997 26/03/2020 1 PCMC


26/09/2013 597.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935997 26/06/2020 1 PCMC


26/09/2013 597.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935997 26/09/2020 1 PCMC


26/09/2013 597.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935997 26/12/2020 1 PCMC


26/09/2013 597.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

706935998 26/03/2020 1 PCMC


26/09/2013 579.00 0.00 21/04/2020
A Ravindar 26/03/2020 Qly 725

706935998 26/06/2020 1 PCMC


26/09/2013 579.00 0.00 21/07/2020
A Ravindar 26/06/2020 Qly 725

706935998 26/09/2020 1 PCMC


26/09/2013 579.00 0.00 20/10/2020
A Ravindar 26/09/2020 Qly 725

706935998 26/12/2020 1 PCMC


26/09/2013 579.00 0.00 20/01/2021
A Ravindar 26/12/2020 Qly 725

All the above payments are subject to cheque realisation, wherever applicable.

Total amount received towards premium for the policies listed above is ` 66,144.00 for the financial year
2020-2021.

Total amount received towards Service Tax / GST for the policies listed above is ` 0.00 for the financial year
2020-2021.

* Please note GST is applicable from 1st July, 2017.

This document is electronically generated. In case of any queries, please send SMS as follows -- type "LICHELP
<policy no>" and send it to 9222492224. Our Customerzone Official will get in touch with you shortly.

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