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 2017-2018

DATE OF ISSUE :28/02/2020

The following premium has been received for life insurance policies of Netaji M Thonge

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 (`) (`)
943498504 06/09/2017 1 EPS1
06/03/2009 7,601.00 0.00 19/09/2017
Netaji Mohan Thonge 06/09/2017 Hly 942

943498504 06/03/2018 1 CBK1

06/03/2009 7,601.00 171.02 13/03/2018
Netaji Mohan Thonge 06/03/2018 Hly 942

943498505 06/09/2017 1 EPS1

06/03/2009 7,601.00 0.00 19/09/2017
Netaji Mohan Thonge 06/09/2017 Hly 942

943498505 06/03/2018 1 CBK1

06/03/2009 7,601.00 171.02 13/03/2018
Netaji Mohan Thonge 06/03/2018 Hly 942

946676416 28/07/2017 1 EPS1

28/01/2005 2,927.00 1.00 19/09/2017
Netaji Mohan Thonge 28/07/2017 Hly 949

946676416 28/01/2018 1 CBK1

28/01/2005 2,927.00 66.38 13/03/2018
Netaji Mohan Thonge 28/01/2018 Hly 949

946795291 28/04/2017 1 PCMC

28/10/2005 3,027.00 0.00 16/06/2017
Netaji Mohan Thonge 28/04/2017 Hly 94A

946795291 28/10/2017 1 EPS1

28/10/2005 3,027.00 69.18 28/12/2017
Netaji Mohan Thonge 28/10/2017 Hly 94A

985618335 09/08/2017 1 EPS1

09/02/2010 2,696.00 0.00 19/09/2017
Asha Netaji Thonge 09/08/2017 Hly 98D

985618335 09/02/2018 1 CBK1

09/02/2010 2,696.00 61.14 13/03/2018
Asha Netaji Thonge 09/02/2018 Hly 98D
All the above payments are subject to cheque realisation, wherever applicable.

Total amount received towards premium for the policies listed above is ` 47,704.00 for the financial year
2017-2018.

Total amount received towards Service Tax / GST for the policies listed above is ` 539.74 for the financial year
2017-2018.

* 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.