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Statement of Commission: Using NEFT (RTGS) Money Transfer Facility. To Know More Details SMS ECOLLECT To 56767

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STATEMENT OF COMMISSION

Commission generated as on 27 Aug 2019

Name : Vinita, Prakash Advisor Code : 01018284

Address : H no 3/2 Paras Apartment Manager Code : 00868614


0
Bank A/c No. : XXXXX 8026
East Singhbhum
Bank Name : CANARA BANK,DIMMA ROAD JAMSHEDPUR
Jamshedpur

Pincode : 831009 License No : ICI01018284 Expiry date : 29 Sep 2022

PAN No : BAEPP7540R

If any of the details above are incorrect or have changed, please inform us immediately through any of our service centres.

Customers can now pay their first premium deposit and renewal premium directly from their own bank branches
using NEFT(RTGS) money transfer facility. To know more details SMS ECOLLECT to 56767.

Summary of Commissions

Sr.No Particulars Amount

A New business commission 0.00

B Renewal commission 1,000.00


C GST (B*GST Rate) 180.00
D Group commission 0.00
E Adjustment where GST is applicable 0.00
F Rewards 0.00
G Adjustment where GST is not applicable 0.00
H Total commission & rewards for TDS (A + B + D + E + F + G) 1,000.00
I TDS 0.00
J Professional Tax 0.00
K Adjustment where GST & TDS is not applicable 0.00
L Final net commission & rewards (H-C+I+J+K) 820.00

Sr.No GST borne by the Company Amount

M GST on New Business (A*GST Rate) 0.00


N GST on Group Business (D*GST Rate) 0.00
O Adjustment where GST Applicable (E*GST Rate) 0.00
P GST on Rewards (F*GST Rate) 0.00

Total 0.00

Renewal commission (Total: Rs 1,000.00)


Comm Policy Policy No Policy Holder Name Prod Product Freq Term Premium Commission Transaction Details
Accural Issuance code Name Amount Amount
date Date

25/08/19 25/08/18 25582328 PRAKASH VINITA UB6 Life Time Classic 01 15R 50000.00 1000.00 Renewal Premium Commission

Please provide your a/c mandate at the nearest ICICI Prudential branch to get commission on weekly basis.
Please note that the Company has duly paid GST under reverse charge on the above commission in accordance with the law.
ICICI Prudential Insurance Company Limited.
Communication Address: Unit No. 1A & 2A, Raheja Tipco Plaza, Rani Sati Marg, Malad(East), Mumbai-400097
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Registered Office: ICICI Prulife Towers,1089, Appasaheb Marathe Marg,Prabhadevi,Mumbai-400 025

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