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Life Insurance Corporation of India

PCMC,Network Operating Center


S.V. Road,SantaCruz(W) Mumbai -
400 054

PREMIUM PAID STATEMENT FOR THE YEAR 2023-2024

DATE OF ISSUE :11/12/2023

The following premium has been received for life insurance policies

Policy Number Date Of Due From Number of Premium/ Service Received Coll. Br.
Policy Holder’s Commence. Due To Instalments Additional Tax / GST Date Serv. Br.
Name and Premium Amount
Payment Amount Received
mode
606838786 28/10/2023 EPS1
Mahesh Kumar Asopa 28/10/2019 28/10/2024 1 Yly 31988.00 719.73 26/10/2023
800

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

Total amount received towards premium for the policies listed above is Rs 31,988.00 for the financial
year 2023 - 2024.

Total amount received towards Service Tax / GST for the policies listed above is Rs 719.73 for the financial year 2023-
2024.

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

This document is electronically generated. In case of any queries, p/ease senc/ SMS as follows -- type "LICHELP
<policy no>” and send it to 9222492224. Our customer zone official will get in touch with you shortly.

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