27-01-2023

MR. A T H GAYAN CHATHURANGA

HEENATIGALA ROAD
ERAMUDUGAHA JUNCTION
UNAWATUNA
GALLE
80000

Half Yearly Statement /අධ වාක ෙග සාරාංශය / அைரயா அறைக

Dear /තව / மதபரிய MR. A T H GAYAN CHATHURANGA

Life Insurance Policy No / ත රෂණ ඔ අංකය /

: 0012052802901
ஆ காத இல

Whilst thanking you for being a valued policy holder of Union Assurance PLC, we are pleased to share the half
yearly statement of the payments received from 01-JUL-2022 to 27-JAN-2023

ය ඇවර සමාගෙ වනා ඔෙය ම බදව අපෙ ය  පකාශ කර න අතර
01-JUL-2022 න ට 27-JAN-2023 න දවා ඔබෙ ඔවට අදාළ අධ වාක ෙග සාරාංශය පහ
දවා ඇත.

னிய அர ப எ சய ெபமத வாத காததாரராக தகவதகாக நற. 01-

JUL-2022 த 27-JAN-2023 வைரயான காலபதரிய அைரயா அறைகைய பக
ெகாவைதய நா மகசயைடகேறா.

Furthermore, If you require to update your correspondence details (address, mobile number, email etc.) or should your require
any clarification in this regard, kindly contact your Personal Finance Advisor/Manager or get in touch with our Contact center
directly on 011-2990990 or 1330

ඔබට වැර තර දැනගැමට අවශ න ෙහ ඔව සබධෙය වැ ර තර දැන ගැමට අවශ ෙ න
ඔබෙ ගක ල උපෙශක/ කළමණාකරැ ෙහ රකථන අංක 011-2990990 / 1330 ම අපෙ පාෙභක ෙවා
අංශය හා සබධ ය හැක.

ேம, உக ெதாடபாட வவரகைள (கவரி, மினச, ெதாைலேபச இல. ேபாறன) பக
வபனா அல உக ேமலதக ெதளிபதக அவசயமாய உகளி பரதேயக நத
ஆேலாசக/காைமயாளைர ெதாட ெகாள அல எட ேநரயாக 0112-990990/1330 ஊடாக ெதாட
ெகாள

Thank you /  / நற

Yours truly / தக நபைகரிய

Manager - Life / කළමනාකරැ - ත / காைமயாள – ஆ

This is a computer generated statement. No signature is required.

ෙමම පකාශනය පඝණක තය බැ ෙම වංලතාවය උෙදසා අස ම අවශ ෙනාෙ.
இ ஒ கணனி லமாக உவாகபட அறைகயா. எனேவ ைகெயாப அவசயமற.

Union Assurance PLC (PQ12), No. 20, St. Michael's Road, Colombo 03, Sri Lanka
Telephone: Hotline (+94) 112 990 990 | Shortcode: 1330 | General (+94) 112 990 000 | Fax: Life Insurance: (+94) 112 438 165
Human Resources (+94) 112 320 595 | Email: info@unionassurance.com | Website: www.unionassurance.com 1/3
Life Insurance Policy No / ත රෂණ ඔ අංකය /
: 0012052802901
ஆ காத இல

Branch/ශාඛාව/கைள : GALLE BRANCH

Premium/වාකය/கபண : Rs. 5,160.00
Mode/ෙගවන ආකාරය/ெகாபன ைற : Monthly

Date Receipt No Cheque No Amount

නය ලප අංකය ෙචප අංකය දල
தகத ப இல காேசாைல இல ெதாைக

10-JUL-2022 0000000028358272 CASH 5,160.00

10-AUG-2022 0000000028961344 CASH 5,160.00

10-SEP-2022 0000000029538471 CASH 5,160.00

10-OCT-2022 0000000030106454 CASH 5,160.00

10-NOV-2022 0000000030695651 CASH 5,160.00

10-DEC-2022 0000000031283503 CASH 5,160.00

Premium Adjustment/වාක ගැලම/

கபண பயபா

Month Year
මාසය වෂය
மாத வட

July 2022

August 2022

September 2022

October 2022

November 2022

December 2022

Total Amount in deposit A/c/තැප ෙ ඇ දල

: Rs. 2.00
ைவ கணகள ெமாத ெதாைக

Next premium due date/ළග වාකය ෙගය  නය

: 21-JAN-2023
அத கபண நைவ தகத

Outstanding loan balance as at 27-01-2023 / 27-01-2023 නට ඟ ණය දල

: Rs. 0.00
27-01-2023 தகதயள கட நைவ த

Union Assurance PLC (PQ12), No. 20, St. Michael's Road, Colombo 03, Sri Lanka
Telephone: Hotline (+94) 112 990 990 | Shortcode: 1330 | General (+94) 112 990 000 | Fax: Life Insurance: (+94) 112 438 165
Human Resources (+94) 112 320 595 | Email: info@unionassurance.com | Website: www.unionassurance.com 2/3
Important / වැදග / கயவ :

Please call our customer hotline on + 94 112 990 990 to update/change your contact details (address, e-mail, mobile/telephone number
etc.)
ඔබෙ සබධතා ෙතාරරැ යාවකාන මට/ෙවන මට කරැණාකර අපෙ රකථන අංක 011-2990990 ඔෙ අපෙ
පාෙභක ෙවා අංශය අමතා දැව කරන ෙලස ඉලා .
உக ெதாட வவரகைள பக/மாற, எக வாைகயாள ரித ேசைவ இலக + 94 112 990 990
அைழக (கவரி, மினச, ைகயடகெதாைலேபச /ெதாைலேபச எ ேபாறைவ).

If you are a Politically Exposed Person (PEP*) as detailed below please be kind enough to notify us through our customer hotline.
ඔබ ෙශපාලක වශෙය සබධ  ගලෙය (PEP)* න අපෙ පාෙභක ෙවා අංශය අමතා දැව කරන ෙලස ඉලා
.
ேழ வவரிகபளதப க அரசய தயாக ெதாடள நபராக (PEP*) இதா, எக வாைகயாள
ரித ேசைவ இலக ல எக தய ெச ெதரியபத.

PEP / ෙශපාලක වශෙය රාවරණය තැනැතා / அரசய தயாக ெதாடள நப*

An individual entrusted with prominent public functions either domestically or by a foreign country, or in an international organization
and includes a Head of a State or a Government, a politician, a senior government officer, judicial officer or military officer, a senior
executive of a State owned Corporation, Government or autonomous body or who is related to a PEP either directly (consanguinity) or
through marriage or similar (civil) forms of partnership or a close associate connected to a PEP, either socially or professionally but does
not include middle rank or junior rank individuals

ෙශපාලක වශෙය රාවරණය තැනැතා යෙව ෙය/ෙය/ජාතතර සංධානයක පඛ මහජන කායය පවරා 
ඇ රාජ පධාෙය, ෙශපාලනඥෙය, ෙජඨ රජෙ ලධාෙය, අකරණ ලධාෙය, හදා ලධාෙය ෙහ රාජ
සංථාවක ෙහ පපාලන වහයක ෙජඨ ධායක ලධාෙය (මධම හා කඨ මටෙම හැර) ෙලස කට ගලෙය
ෙහ ෙශපාලක වශෙය රාවරණය ගලෙය සමග සෘව ෙහ වාහය හරහා ෙහ ඒ හා සමාන () හකාවය
හරහා ෙහ සපතම අතෙය ෙලස ෙහ සමාය ෙහ වෘයමය වශෙය සබධතාවය පවවන ගලෙය අදහෙ.

உநாேலா அல ெவளிநாேலா அல ஒ சவேதச நவனதேலா கய ெபா ெசயபாகளி

ஒபைடகபட ஒ தனிநப ம ஒ மாநல அல அரசாகத தைலவ, அரசயவாத, ஒ த அரசாக
அதகாரி, தைற அதகாரி அல இராவ அதகாரி, த நவாக அர ெசாதமான கழக, அர அல
தனாச அைம அல அரசய தயாக ெதாடள நபட ேநரயாக (உறநைல) அல தமண அல
அத ஒபான (சவ) டாைம வவக அல அரசய தயாக ெதாடள நபட இைணகபட
ெநகய நப, சக தயாகேவா அல ெதாழி தயாகேவா ஆனா நதர அல ஜூனிய தரவரிைச நபகைள
ேசகபடவைல.

Union Assurance PLC (PQ12), No. 20, St. Michael's Road, Colombo 03, Sri Lanka
Telephone: Hotline (+94) 112 990 990 | Shortcode: 1330 | General (+94) 112 990 000 | Fax: Life Insurance: (+94) 112 438 165
Human Resources (+94) 112 320 595 | Email: info@unionassurance.com | Website: www.unionassurance.com 3/3