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    Deepti Gupta
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    Simmi Rani has paid the annual premium of Rs. 25,000 for her life insurance policy numbered 67981254, which is a Jeevan Arogya plan with a policy term from May 16, 2022 to May 15, 2023. The premium was paid on May 16, 2022 and has been received by the Life Insurance Corporation of India's collecting branch D011. This certificate confirms receipt of the full premium amount for the 2022-2023 financial year.

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    Simmi Rani has paid the annual premium of Rs. 25,000 for her life insurance policy numbered 67981254, which is a Jeevan Arogya plan with a policy term from May 16, 2022 to May 15, 2023. The premium was paid on May 16, 2022 and has been received by the Life Insurance Corporation of India's collecting branch D011. This certificate confirms receipt of the full premium amount for the 2022-2023 financial year.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    26 views1 page

    LIC Self

    Uploaded by

    Deepti Gupta
    Simmi Rani has paid the annual premium of Rs. 25,000 for her life insurance policy numbered 67981254, which is a Jeevan Arogya plan with a policy term from May 16, 2022 to May 15, 2023. The premium was paid on May 16, 2022 and has been received by the Life Insurance Corporation of India's collecting branch D011. This certificate confirms receipt of the full premium amount for the 2022-2023 financial year.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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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

    PREMIUM PAID CERTIFICATE FOR THE YEAR 2022-2023


    DATE OF ISSUE: 16/05/2022

    This is to certify that the following premium have been received under the following life
    insurance policy held by Simmi Rani

    Name Simmi Rani


    Policy Number 67981254
    Plan 904 (Jeevan Arogya)
    Policy Term From 16-05-22 To 15-05-23
    Premium Paying Term 16-05-22
    Commencement Date 16/05/2022
    Instalment Premium 25,000.00
    Mode of Premium Payment YRL
    Reference Code 66589-002

    Premium
    Number Of Received Collecting
    Due From Due To Amount Status
    Instalments Date Branch
    Received
    05/2022 05/2023 1 25,000.00 16/05/2022 D011 Normal

    Total amount received towards premium for the policy number 67981254 is Rs. 25,000.00 for
    the financial year 2022-2023.

    This certificate is electronically generated

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