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  • Premier Services Form-LIC PDF

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    Ravi Kumar Chintada
    524 views1 page
    Ravi Kumar Ch is requesting registration for Premier Services from LIC of India. He provides his personal details including name, date of birth, Aadhaar number, mobile number, email, and PAN. He has two eligible policies for Premier Services under his name - policy numbers 693823957 and 695664514, both with a date of birth of 15/08/1984 and premium amounts of 658 INR and 6,125 INR respectively. By signing, he accepts the Terms of Service for LIC's Premier Services and agrees all transactions under his user ID and password will be binding.

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    Premier Services Form-LIC.pdf

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    Ravi Kumar Ch is requesting registration for Premier Services from LIC of India. He provides his personal details including name, date of birth, Aadhaar number, mobile number, email, and PAN. He has two eligible policies for Premier Services under his name - policy numbers 693823957 and 695664514, both with a date of birth of 15/08/1984 and premium amounts of 658 INR and 6,125 INR respectively. By signing, he accepts the Terms of Service for LIC's Premier Services and agrees all transactions under his user ID and password will be binding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    524 views1 page

    Premier Services Form-LIC PDF

    Uploaded by

    Ravi Kumar Chintada
    Ravi Kumar Ch is requesting registration for Premier Services from LIC of India. He provides his personal details including name, date of birth, Aadhaar number, mobile number, email, and PAN. He has two eligible policies for Premier Services under his name - policy numbers 693823957 and 695664514, both with a date of birth of 15/08/1984 and premium amounts of 658 INR and 6,125 INR respectively. By signing, he accepts the Terms of Service for LIC's Premier Services and agrees all transactions under his user ID and password will be binding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    *This form is to be printed, signed and uploaded back to submit the Premier Service Registration request.

    Premier Services

    Name Date of Birth Aadhaar No/UID

    Ravi Kumar Ch 15/08/1984 53XXXXXXXX84

    Mobile Number Email ID PAN


    9492345003 ravichjntu@gmail.com AFXXXXXX7H

    Passport Number

    Eligible Policies for Premier Services

    Name Policy Number Date of Birth Premium (`)

    Chinthada Ravikumar 693823957 15/08/1984 658.00

    Chintada Ravikumar 695664514 15/08/1984 6,125.00

    * I have read the provisions contained in the "Terms of Service: Registration for LIC's Premier Services"and accept
    them. I agree that all transactions executed over LIC's web-site: www.licindia.in under my User-ID and Password
    will be binding on me.

    Signature

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