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Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
Number of Instalments and Payment Mode Received Date Coll. Br. Serv. Br. Premium/ Additional Premium Amount Service Tax / GST Amount Received
The following premium has been received for life insurance policies of Jasmita Meher
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 (`) (`)
573750360 11/07/2019 1 EPS1
11/07/2012 7,452.00 0.00 30/07/2019
Jasmita Meher 11/07/2019 Hly 509
All the above payments are subject to cheque realisation, wherever applicable.
Total amount received towards premium for the policies listed above is ` 14,904.00 for the financial year
2019-2020.
Total amount received towards Service Tax / GST for the policies listed above is ` 0.00 for the financial year
2019-2020.
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.