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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 STATEMENT FOR THE YEAR 2012-2013 DATE OF ISSUE: 02/03/2013

The following premia have been received under the following life insurance policies of G Maheshwaran

Policy No.

Dt of Due Commencement From

Number Of Instalments Premium Received Due To and Amount Date Payment Received Mode

Collecting Servicing Email id of Servicing Branch Branch Branch 74X bo_74X@licindia.com

747039251 05/12/2012

12/2012 12/2012 1 HLY

23,798.00 05/12/2012 74X

All the above payments are subject to cheque realisation, wherever applicable. Total amount received towards premium for the policies listed above is Rs.23,798.00 for the financial year 2012-2013. This document is electronically generated, for any queries please contact the servicing branch of respective policies.

https://customer.onlinelic.in/LICEPS/appmanager/Generic/TaxCertificateHome?selectedValues=123456789| 2012| CONS

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