Scribd
Upload
96 views1 page

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

This document is a premium paid statement for life insurance policies held by Mandala Upendra for the 2019-2020 financial year. It details the 5 premium payments received between October 2019-March 2020 for policy number 613974329, totaling Rs. 19,332 in premiums and Rs. 869.92 in service tax/GST. The statement confirms receipt of these payments for the listed policies.

Uploaded by

Upendra Mandala
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
96 views1 page

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

This document is a premium paid statement for life insurance policies held by Mandala Upendra for the 2019-2020 financial year. It details the 5 premium payments received between October 2019-March 2020 for policy number 613974329, totaling Rs. 19,332 in premiums and Rs. 869.92 in service tax/GST. The statement confirms receipt of these payments for the listed policies.

Uploaded by

Upendra Mandala
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
You are on page 1/ 1

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 2019-2020

DATE OF ISSUE :07/06/2021

The following premium has been received for life insurance policies of Mandala Upendra

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 (`) (`)
613974329 21/10/2019 2 69A
21/10/2019 6,444.00 290.00 21/10/2019
Mandala Upendra 21/11/2019 Mly 69A

613974329 21/12/2019 1 B064


21/10/2019 3,222.00 144.98 26/12/2019
Mandala Upendra 21/12/2019 Mly 69A

613974329 21/01/2020 1 B064


21/10/2019 3,222.00 144.98 22/01/2020
Mandala Upendra 21/01/2020 Mly 69A

613974329 21/02/2020 1 B064


21/10/2019 3,222.00 144.98 24/02/2020
Mandala Upendra 21/02/2020 Mly 69A

613974329 21/03/2020 1 B064


21/10/2019 3,222.00 144.98 23/03/2020
Mandala Upendra 21/03/2020 Mly 69A

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

Total amount received towards premium for the policies listed above is ` 19,332.00 for the financial year
2019-2020.

Total amount received towards Service Tax / GST for the policies listed above is ` 869.92 for the financial year
2019-2020.

* 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.

You might also like