Life Insurance Corporation of India

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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 2013-2014

Policy No.

Dt of
Due
Commencement From

675274845 28/05/2007
672567262 28/08/2001
675290677 27/05/2008
676940659 12/12/2011
674033872 28/03/2006
672567262 28/08/2001
674033872 28/03/2006
675290677 27/05/2008
675274845 28/05/2007
672567262 28/08/2001
676940659 12/12/2011
674033872 28/03/2006
672567262 28/08/2001

05/2013
05/2013
05/2013
06/2013
06/2013
08/2013
09/2013
11/2013
11/2013
11/2013
12/2013
12/2013
02/2014

Number Of
Due To Instalments and
Payment Mode
05/2013 1 HLY
05/2013 1 QLY
05/2013 1 HLY
06/2013 1 HLY
06/2013 1 QLY
08/2013 1 QLY
09/2013 1 QLY
11/2013 1 HLY
11/2013 1 HLY
11/2013 1 QLY
12/2013 1 HLY
12/2013 1 QLY
02/2014 1 QLY

Premium
Amount
Received
1,293.00
538.00
1,238.00
2,820.00
930.00
538.00
930.00
1,238.00
1,293.00
538.00
2,820.00
930.00
538.00

Received
Date

Collecting Servicing Email id of Servicing
Branch
Branch
Branch

24/05/2013
24/05/2013
24/05/2013
13/07/2013
13/07/2013
23/08/2013
09/10/2013
06/11/2013
06/11/2013
06/11/2013
21/01/2014
21/01/2014
15/02/2014

EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1
EPS1

691
691
691
691
691
691
691
691
691
691
691
691
691

[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]
[email protected]

DATE OF ISSUE: 15/02/2014

The following premium have been received under the following life insurance policies of Chepuri Venkatarama
krishnarao
All the above payments are subject to cheque realisation, wherever applicable. Total amount received towards
premium for the policies listed above is Rs.15,644.00 for the financial year 2013-2014.
This document is electronically generated, for any queries please contact the servicing branch of respective policies.

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