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TaxCertificateHome

Life Insurance Corporation of India PCMC, Network Operating Center 1st Floor, Jeevan Seva Annexe S.V.Road, Santacruz(W) Mumbai - 400 054 PREMIUM PAID CERTIFICATE FOR THE YEAR 2012-2013 DATE OF ISSUE: 05/03/2013

This is to certify that the following premium have been received under the following life insurance policy held by Shiv Kumar Vishwakarma
Name Policy Number Plan Policy Term Premium Paying Term Commencement Date Instalment Premium Mode Of Premium Payment Reference Code Shiv Kumar Vishwakarma 288051003 165(Jeevan Saral) 15 15 19/12/2012 1,531.00 QLY 28732423

Due From

Due To

Number Of Instalments

Premium Amount Received 1,531.00

Received Date

Collecting Branch

Status Normal

12/2012 12/2012 1

19/12/2012 28T

Total amount received towards premium for the policy number 288051003 is Rs. 1,531.00 for the financial year 2012-2013

This certificate is electronically generated

https://customer.onlinelic.in/LICEPS/appmanager/Generic/TaxCertificateHome?selectedValues=288051003| 2012|

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