The following premium has been received for life insurance policies of Vignesh D
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 (`) (`)
758197490 15/07/2018 1 EPS1
06/07/2015 50,265.00 1,130.96 16/07/2018
Vignesh D 15/07/2018 Hly 757
All the above payments are subject to cheque realisation, wherever applicable.
Total amount received towards premium for the policies listed above is ` 100,530.00 for the financial year
2018-2019.
Total amount received towards Service Tax / GST for the policies listed above is ` 2261.92 for the financial
year 2018-2019.
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.