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PremiumPaidStatement 2021-2022

This document is a premium paid statement for life insurance policies of Rajesh Kumar Rathore for the year 2021-2022. It lists 14 different policies, providing details such as the policy number, commencement date, due dates, premium amounts paid, payment dates, and collecting/servicing branch codes. All listed premiums were paid on or before their due dates.

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jyotirajeshlic
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27 views2 pages

PremiumPaidStatement 2021-2022

This document is a premium paid statement for life insurance policies of Rajesh Kumar Rathore for the year 2021-2022. It lists 14 different policies, providing details such as the policy number, commencement date, due dates, premium amounts paid, payment dates, and collecting/servicing branch codes. All listed premiums were paid on or before their due dates.

Uploaded by

jyotirajeshlic
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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 2021-2022

DATE OF ISSUE :03/02/2024

The following premium has been received for life insurance policies of Rajesh Kumar Rathore

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 (`) (`)
358382804 15/12/2021 1 CBK1
15/12/2011 5,142.00 0.00 08/12/2021
Jyoti Rathore 15/12/2021 Yly 38A

359100598 28/09/2021 1 EPS1


28/09/2013 14,600.00 0.00 02/09/2021
Rajesh Kumar Rathore 28/09/2021 Yly 38A

359101504 28/11/2021 1 CBK1


28/11/2013 4,804.00 0.00 17/11/2021
Jyoti Rathore 28/11/2021 Yly 38A

359101505 28/11/2021 1 CBK1


28/11/2013 4,804.00 0.00 17/11/2021
Jyoti Rathore 28/11/2021 Yly 38A

359101506 28/11/2021 1 CBK1


28/11/2013 4,804.00 0.00 17/11/2021
Jyoti Rathore 28/11/2021 Yly 38A

359415922 24/08/2021 1 EPS1


24/08/2017 1,547.00 278.46 12/08/2021
Rajesh Kumar Rathore 24/08/2021 Hly 38A

359415922 24/02/2022 1 EPS1


24/08/2017 1,547.00 278.46 17/02/2022
Rajesh Kumar Rathore 24/02/2022 Hly 38A

359415923 24/08/2021 1 EPS1


24/08/2017 993.00 178.74 12/08/2021
Jyoti Rathore 24/08/2021 Hly 38A

359415923 24/02/2022 1 EPS1


24/08/2017 993.00 178.74 17/02/2022
Jyoti Rathore 24/02/2022 Hly 38A

359416280 28/05/2021 1 CBK1


28/08/2017 7,481.00 168.32 10/05/2021
Smt Jyoti Rathore 28/05/2021 Qly 38A

359416280 28/08/2021 1 CBK1


28/08/2017 7,481.00 168.32 12/08/2021
Smt Jyoti Rathore 28/08/2021 Qly 38A

359416280 28/11/2021 1 CBK1


28/08/2017 7,481.00 168.32 17/11/2021
Smt Jyoti Rathore 28/11/2021 Qly 38A

359416280 28/02/2022 1 EPS1


28/08/2017 7,481.00 168.32 17/02/2022
Smt Jyoti Rathore 28/02/2022 Qly 38A

359416281 28/05/2021 1 CBK1


28/08/2017 7,631.00 171.70 10/05/2021
Rajesh Kumar Rathore 28/05/2021 Qly 38A

359416281 28/08/2021 1 CBK1


28/08/2017 7,631.00 171.70 12/08/2021
Rajesh Kumar Rathore 28/08/2021 Qly 38A

359416281 28/11/2021 1 CBK1


28/08/2017 7,631.00 171.70 17/11/2021
Rajesh Kumar Rathore 28/11/2021 Qly 38A
359416281 28/02/2022 1 EPS1
28/08/2017 7,631.00 171.70 17/02/2022
Rajesh Kumar Rathore 28/02/2022 Qly 38A

366547595 04/03/2021 1 CBK1


04/09/2019 39,787.00 895.20 02/04/2021
Rajesh Kumar Rathore 04/03/2021 Qly 38A

366547595 04/06/2021 1 CBK1


04/09/2019 39,787.00 895.20 02/06/2021
Rajesh Kumar Rathore 04/06/2021 Qly 38A

366547595 04/09/2021 1 EPS1


04/09/2019 39,787.00 895.20 08/09/2021
Rajesh Kumar Rathore 04/09/2021 Qly 38A

366547595 04/12/2021 1 CBK1


04/09/2019 39,787.00 895.20 08/12/2021
Rajesh Kumar Rathore 04/12/2021 Qly 38A

366547595 04/03/2022 1 CBK1


04/09/2019 39,787.00 895.20 09/03/2022
Rajesh Kumar Rathore 04/03/2022 Qly 38A

366547596 04/06/2021 1 CBK1


04/09/2019 11,932.00 268.48 08/06/2021
Jyoti Rathore 04/06/2021 Qly 38A

366547596 04/09/2021 1 CBK1


04/09/2019 11,932.00 268.48 14/08/2021
Jyoti Rathore 04/09/2021 Qly 38A

366547596 04/12/2021 1 CBK1


04/09/2019 11,932.00 268.48 04/12/2021
Jyoti Rathore 04/12/2021 Qly 38A

366547596 04/03/2022 1 CBK1


04/09/2019 11,932.00 268.48 09/03/2022
Jyoti Rathore 04/03/2022 Qly 38A

366549884 04/06/2021 1 CBK1


04/09/2019 17,899.00 402.72 08/06/2021
Jyoti Rathore 04/06/2021 Qly 38A

366549884 04/09/2021 1 CBK1


04/09/2019 17,899.00 402.72 14/08/2021
Jyoti Rathore 04/09/2021 Qly 38A

366549884 04/12/2021 1 CBK1


04/09/2019 17,899.00 402.72 04/12/2021
Jyoti Rathore 04/12/2021 Qly 38A

366549884 04/03/2022 1 CBK1


04/09/2019 17,899.00 402.72 09/03/2022
Jyoti Rathore 04/03/2022 Qly 38A

385616971 28/04/2021 1 EPS1


28/04/2009 5,161.00 0.00 19/04/2021
Rajesh Kumar Rathore 28/04/2021 Yly 38A

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

Total amount received towards premium for the policies listed above is ` 423,102.00 for the financial year
2021-2022.

Total amount received towards Service Tax / GST for the policies listed above is ` 9435.28 for the financial
year 2021-2022.

* 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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