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 2023-2024

DATE OF ISSUE :31/03/2024

The following premium has been received for life insurance policies of V Gunasekaran

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 (`) (`)
717810250 20/02/2023 4 EPS1
20/11/2006 2,080.00 7.42 12/06/2023
V Gunasekaran 20/05/2023 Mly 7151

717810250 20/06/2023 6 EPS1

20/11/2006 3,120.00 11.12 20/11/2023
V Gunasekaran 20/11/2023 Mly 7151

717810250 20/12/2023 4 EPS1

20/11/2006 2,080.00 4.44 31/03/2024
V Gunasekaran 20/03/2024 Mly 7151

719050418 09/03/2023 2 EPS1

09/06/2010 2,208.00 4.72 12/06/2023
V Gunasekaran S/O Velmurugan 09/06/2023 Qly 7151

719050418 09/09/2023 1 EPS1

09/06/2010 1,104.00 3.16 20/11/2023
V Gunasekaran S/O Velmurugan 09/09/2023 Qly 7151

719050418 09/12/2023 2 EPS1

09/06/2010 2,208.00 6.30 31/03/2024
V Gunasekaran S/O Velmurugan 09/03/2024 Qly 7151

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

Total amount received towards premium for the policies listed above is ` 12,800.00 for the financial year
2023-2024.

Total amount received towards Service Tax / GST for the policies listed above is ` 37.16 for the financial year
2023-2024.

* 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.