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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

The document is a premium paid statement for Sagar Deb's life insurance policies for the financial year 2024-2025, issued on 01/03/2025. A total of ₹18,183.00 was received in premiums and ₹413.88 in Service Tax/GST. Payments are subject to cheque realization, and queries can be addressed via SMS to the provided number.

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16 views2 pages

Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received

The document is a premium paid statement for Sagar Deb's life insurance policies for the financial year 2024-2025, issued on 01/03/2025. A total of ₹18,183.00 was received in premiums and ₹413.88 in Service Tax/GST. Payments are subject to cheque realization, and queries can be addressed via SMS to the provided number.

Uploaded by

sagardeb607
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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 2024-2025

DATE OF ISSUE :01/03/2025

The following premium has been received for life insurance policies of Sagar Deb

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 (`) (`)
409641139 23/03/2024 1 EPS1
23/09/2020 1,653.00 37.20 02/04/2024
Sagar Deb 23/03/2024 Mly 497

409641139 23/04/2024 1 EPS1


23/09/2020 1,653.00 37.20 04/05/2024
Sagar Deb 23/04/2024 Mly 497

409641139 23/05/2024 1 EPS1


23/09/2020 1,653.00 37.20 06/06/2024
Sagar Deb 23/05/2024 Mly 497

409641139 23/06/2024 1 EPS1


23/09/2020 1,653.00 37.20 02/07/2024
Sagar Deb 23/06/2024 Mly 497

409641139 23/07/2024 2 CBK2


23/09/2020 3,306.00 76.74 31/08/2024
Sagar Deb 23/08/2024 Mly 497

409641139 23/09/2024 1 EPS1


23/09/2020 1,653.00 37.20 02/10/2024
Sagar Deb 23/09/2024 Mly 497

409641139 23/10/2024 1 EPS1


23/09/2020 1,653.00 37.20 31/10/2024
Sagar Deb 23/10/2024 Mly 497

409641139 23/11/2024 1 EPS1


23/09/2020 1,653.00 37.20 02/12/2024
Sagar Deb 23/11/2024 Mly 497

409641139 23/12/2024 2 EPS1


23/09/2020 3,306.00 76.74 31/01/2025
Sagar Deb 23/01/2025 Mly 497
All the above payments are subject to cheque realisation, wherever applicable.

Total amount received towards premium for the policies listed above is ` 18,183.00 for the financial year
2024-2025.

Total amount received towards Service Tax / GST for the policies listed above is ` 413.88 for the financial year
2024-2025.

* 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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