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 :10/01/2025
The following premium has been received for life insurance policies of S Hemavarshini
Premium/ Service
Number of Tax / GST
Due Instalments Additional Received
Policy Number Date Of Premium Amount Coll. Br.
Policy Holder's Name Commence. From and Received * Date Serv. Br.
Payment Amount
Due To
mode (`) (`)
655677536 15/04/2024 1 9,780.00 B071
15/06/2018 307.54 15/04/2024
A 15/04/2024 Mly 731
Udayasuriya
655677536 15/05/2024 1 9,780.00 B071
15/06/2018 307.54 15/05/2024
A 15/05/2024 Mly 731
Udayasuriya
655677536 15/06/2024 1 9,780.00 B071
15/06/2018 307.54 15/06/2024
A 15/06/2024 Mly 731
Udayasuriya
655677536 15/07/2024 1 9,780.00 B071
15/06/2018 307.54 15/07/2024
A 15/07/2024 Mly 731
Udayasuriya
655677536 15/08/2024 1 9,780.00 B071
15/06/2018 307.54 15/08/2024
A 15/08/2024 Mly 731
Udayasuriya
655677536 15/09/2024 1 9,780.00 B071
15/06/2018 307.54 15/09/2024
A 15/09/2024 Mly 731
Udayasuriya
655677536 15/10/2024 1 9,780.00 B071
15/06/2018 307.54 15/10/2024
A 15/10/2024 Mly 731
Udayasuriya
655677536 15/11/2024 1 9,780.00 B071
15/06/2018 307.54 15/11/2024
A 15/11/2024 Mly 731
Udayasuriya
655677536 15/12/2024 1 9,780.00 B071
15/06/2018 307.54 15/12/2024
A 15/12/2024 Mly 731
Udayasuriya
All the above payments are subject to cheque realisation, wherever applicable.
Total amount received towards premium for the policies listed above is ` 97,800.00 for the financial year
2024-2025.
Total amount received towards Service Tax / GST for the policies listed above is ` 2627.86 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.