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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 :12/02/2025

The following premium has been received for life insurance policies of Rishabh Verma

Premium/ Service
Number of Tax / GST
Due From Instalments Additional Received Coll. Br.
Policy Number Date Of Premium Amount
Policy Holder's Name Commence. Due To and Received * Date Serv. Br.
Payment Amount
mode (₹) (₹)
128516439 03/04/2024 1 B033
03/05/2020 3,867.00 87.00 07/04/2024
Rishabh Verma 03/04/2024 Mly 118

128516439 03/05/2024 1 B033


03/05/2020 3,867.00 87.00 07/05/2024
Rishabh Verma 03/05/2024 Mly 118

128516439 03/06/2024 1 B033


03/05/2020 3,867.00 87.00 07/06/2024
Rishabh Verma 03/06/2024 Mly 118

128516439 03/07/2024 1 B033


03/05/2020 3,867.00 87.00 07/07/2024
Rishabh Verma 03/07/2024 Mly 118

128516439 03/08/2024 1 B033


03/05/2020 3,867.00 87.00 08/08/2024
Rishabh Verma 03/08/2024 Mly 118

128516439 03/09/2024 1 B033


03/05/2020 3,867.00 87.00 07/09/2024
Rishabh Verma 03/09/2024 Mly 118
128516439 03/10/2024 1 B033
03/05/2020 3,867.00 87.00 07/10/2024
Rishabh Verma 03/10/2024 Mly 118

128516439 03/11/2024 1 B033


03/05/2020 3,867.00 87.00 07/11/2024
Rishabh Verma 03/11/2024 Mly 118

128516439 03/12/2024 1 B033


03/05/2020 3,867.00 87.00 07/12/2024
Rishabh Verma 03/12/2024 Mly 118

128516439 03/01/2025 1 B033


03/05/2020 3,867.00 87.00 07/01/2025
Rishabh Verma 03/01/2025 Mly 118

128516439 03/02/2025 1 B033


03/05/2020 3,867.00 87.00 07/02/2025
Rishabh Verma 03/02/2025 Mly 118
All the above payments are subject to cheque realisation, wherever applicable.

Total amount received towards premium for the policies listed above is ₹ 42,537.00 for the financial year
2024-2025.

Total amount received towards Service Tax / GST for the policies listed above is ₹ 957 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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