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Premium Certificate-2

The document is a premium paid statement for the Life Insurance Corporation of India for the financial year 2024-2025, issued on 24/02/2025. It details the premium received of ₹4,095.00 and service tax/GST of ₹737.10 for policy number 928121094 held by Mantu Kumar Siyaram Sharma. All payments are subject to cheque realization, and queries can be directed via SMS to a designated number.

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34 views1 page

Premium Certificate-2

The document is a premium paid statement for the Life Insurance Corporation of India for the financial year 2024-2025, issued on 24/02/2025. It details the premium received of ₹4,095.00 and service tax/GST of ₹737.10 for policy number 928121094 held by Mantu Kumar Siyaram Sharma. All payments are subject to cheque realization, and queries can be directed via SMS to a designated number.

Uploaded by

mantu.coolest217
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 :24/02/2025

The following premium has been received for life insurance policies

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 (`) (`)
928121094 06/09/2024 1 CBK3
06/09/2017 4,095.00 737.10 03/10/2024
Mantu Kumar Siyaram Sharma 06/09/2024 Yly 92B

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

Total amount received towards premium for the policies listed above is ` 4,095.00 for the financial year 2024-
2025.

Total amount received towards Service Tax / GST for the policies listed above is ` 737.1 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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