Life Insurance Corporation of India

Detailed Policy Status Report

Policy Information:

Name of the Life Assured: Kartik Rameshchandra Desai PolicyNumber: 865272752

Plan Name: Samridhi Plus (Plan-804) Policy Status: Fully Paid-Up

Sum Assured: ` 1,50,000 Instalment Premium: ` 15,000.00

Premium due from:

Nominee Details:

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

PINAL WIFE 100

Billing Details:
Instalment Premium: ` 15,000.00 Amount due: ` 0.00
Premium due from: Premium Mode : Yearly

No of Instalments:

Other Details :
Age : 37 Yrs Policy Term: 10 Yrs
Commencement date: 15/04/2011 Premium Paying Term: 5 Yrs

Policy Benefits: ` 1,50,000.00 Branch Name(code): LIC of India, Surat City

Branch Office-IX 86H (86H
Agent Details: 9169186H - Desai Ilaben City: Surat
Kiransinh
No of Units: 5631
Date of Maturity: 15/04/2021
NAV: 19.5521
FundType: Samridhi Plus

FundValue: 1,10,097.88

This document is electronically generated and no signature is required.