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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

LIC OF INDIA

PREMIUM PAID CERTIFICATE FOR THE YEAR 2016-2017


DATE OF ISSUE: 11/09/2016

This is to certify that the following premium have been received under the
following life insurance policy held by K.Ramesh Babu
Name
Policy Number
Plan
Policy Term
Premium Paying Term
Commencement Date
Instalment Premium
Mode Of Premium Payment
Reference Code

Due
From

Due To

Number Of
Instalments

04/2016
06/2016
07/2016
08/2016
09/2016

04/2016 1
06/2016 1
07/2016 1
08/2016 1
09/2016 1

K.Ramesh Babu
706465663
165(Jeevan Saral)
25
25
05/07/2012
1,021.00
MLY
76103553

Premium
Amount
Received
1,021.00
1,021.00
1,021.00
1,021.00
1,021.00

Received
Date

Collecting
Status
Branch

07/04/2016
07/06/2016
08/07/2016
08/08/2016
07/09/2016

B071
B071
B071
B071
B071

Normal
Normal
Normal
Normal
Normal

Total amount received towards premium for the policy number 706465663 is
Rs. 5,105.00 for the financial year 2016-2017

This certificate is electronically generated


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9/22/2016

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