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 2022-2023

DATE OF ISSUE: 16/02/2023

The following premia have been received under the following life insurance policies of
Vasireddi Ramesh

No. Of
Premium
Date of Due Instalments Received Collecting Servicing Short
Policy No. Plan Term Due To Amount TotalGst
Commencement From & Payment Date Branch Branch Name
Received
Mode
1 Half Ramesh
692675524 149 69 26/07/2010 07/2022 07/2022 3,071.00 0.00 11/07/2022 CBK1 69B
yearly V
1 Half Ramesh
692675524 149 69 26/07/2010 01/2023 01/2023 3,071.00 0.00 12/02/2023 CBK2 69B
yearly V
Ramesh
692675724 165 18 24/12/2010 12/2022 12/2022 1 Yearly 6,005.00 0.00 26/12/2022 CBK2 69B
V
Ramesh
1 Half
692676414 89 17 19/04/2012 04/2022 04/2022 6,718.00 0.00 15/04/2022 CBK1 69B S Rani
yearly
V
Ramesh
1 Half
692676414 89 17 19/04/2012 10/2022 10/2022 6,718.00 0.00 08/10/2022 CBK1 69B S Rani
yearly
V
Ramesh
692677050 106 15 11/12/2013 06/2022 06/2022 1 Quarterly 2,851.00 0.00 05/06/2022 CBK1 69B
V
Ramesh
692677050 106 15 11/12/2013 09/2022 09/2022 1 Quarterly 2,851.00 0.00 07/09/2022 CBK1 69B
V
Ramesh
692677050 106 15 11/12/2013 12/2022 12/2022 1 Quarterly 2,851.00 0.00 12/12/2022 CBK2 69B
V
1 Half Ramesh
808731744 822 20 13/09/2017 09/2022 09/2022 2,642.00 475.56 06/09/2022 CBK1 69B
yearly V
Ramesh
808731745 820 20 13/09/2017 06/2022 06/2022 1 Quarterly 7,092.00 159.58 06/06/2022 CBK1 69B
V
Ramesh
808731745 820 20 13/09/2017 09/2022 09/2022 1 Quarterly 7,092.00 159.58 06/09/2022 CBK1 69B
V
Ramesh
808731745 820 20 13/09/2017 12/2022 12/2022 1 Quarterly 7,092.00 159.58 26/12/2022 CBK2 69B
V

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

Total amount received towards premium for the policies listed above is Rs.58,054.00 for the financial year 2022-2023.
Total amount received towards Service Tax / GST for the policies listed above is Rs.954.30 for the financial year 2022-2023.

This document is electronically generated, for any queries please contact the servicing branch of respective policies.

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