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Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
The following premium has been received for life insurance policies
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 (`) (`)
919984819 10/04/2022 1 B083
10/11/2021 5,781.00 260.14 15/04/2022
Barkat Purusottamdas Patel 10/04/2022 Mly 840
Total amount received towards premium for the policies listed above is ` 69,372.00 for the financial year
2022-2023.
Total amount received towards Service Tax / GST for the policies listed above is ` 2471.28 for the financial
year 2022-2023.
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.