Life Insurance Corporation of India

PCMC, Network Operating Center

1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054

PREMIUM PAID CERTIFICATE FOR THE YEAR 2022-2023

DATE OF ISSUE: 16/03/2023

This is to certify that the following premium have been received under the following
life insurance policy held by Satinder Pal Kaur

Name Satinder Pal Kaur

Policy Number 149411170
Plan 936(LIC's New Jeevan Labh Plan)
Policy Term 16
Premium Paying Term 10
Commencement Date 23/01/2023
Instalment Premium 19,056.00
Mode Of Premium Payment Yearly
Reference Code 19767180

Due Number Of Premium Amount Received Collecting

Due To TotalGst
From Instalments Received Date Branch
01/2023 01/2023 1 19,056.00 858.00 15/03/2023 156

Total amount received towards premium for the policy number 149411170 is Rs.
19,056.00 for the financial year 2022-2023
Total amount received towards Service Tax / GST for the policies listed above is
Rs.858.00 for the financial year 2022-2023.

This certificate is electronically generated

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