Life Insurance Corporation of India

Detailed Policy Status Report

Policy Information:

Name of the Life Assured: Saquib Nishat PolicyNumber: 203219574

Plan Name: Jeevan Surabhi - 25 Years (Plan- Policy Status: in-force

108)
Sum Assured: ` 19,00,000 Instalment Premium: ` 1,12,000.00

Premium due from: 28/03/2022 Vested Bonus ` 2,25,875.00

Nominee Details:

Name of the Nominee Age Relation of Life Assured Share(%)

MD Omair Alam 70 Yrs Father 100

Billing Details:
Instalment Premium: ` 1,12,000.00 Amount due: ` 1,12,000.00
Premium due from: 28/03/2022 Premium Mode : Yearly

No of Instalments: 1

Other Details :
Age : 32 Yrs Policy Term: 25 Yrs
Commencement date: 28/02/2014 Premium Paying Term: 18 Yrs

Policy Benefits: 19,00,000.00

` 1,90,000.00 Branch Name(code): LIC of India, Gwalior
Branch II (349 )
Agent Details: 01612349 - Shri Avanis Gahoi City: Gwalior

Date of Maturity: 28/02/2039

NAV: For NAV details please
contact your Servicing
Branch / Customer
Zone
FundValue: 0.00

This document is electronically generated and no signature is required.

 Amica Investment Advisers Private Limited
SEBI Registered Investment Adviser
SEBI RIA code: INA000015507
www.jupiter.money/mutual-funds/

Name PAN Report Date

Saquib Nishat AQTPN3612N 21-Dec-22

Statement of investments in Tax Saving (ELSS) Funds (Eligible for tax benefits under sec. 80c of IT Act)

Financial Year Total Investment

2022-23 Rs. 14999.25

Investments on Jupiter (AIAPL)

Purchase Date Folio No. Name of Fund Units Amount (Rs)

04-Oct-22 51016615485 Quant Tax Plan Growth Option Direct Plan 19.171 4999.75
03-Nov-22 51016615485 Quant Tax Plan Growth Option Direct Plan 18.452 4999.75
05-Dec-22 51016615485 Quant Tax Plan Growth Option Direct Plan 17.856 4999.75

Total 14999.25

This report is generated online. No Signature is needed.