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@QS21 tip 09-12-2019 MSPREMA BARGINA BARRETO HNO 216 CHURCH STREET CORTALIM MARMUGAO. ‘CORTALIM 403710 Goa LIFE INSURANCE PREMIUM PAID CERTIFICATE FOR THE 2019-20 This is it S810 certty that the following payments have been made under fe insurance policies held by Me PncuA saxon anasto ete Heo eras — Sana reagao | apa es ae ee Feeuais — e-em} — nso — oan -—} res eccnene |"™N escort enan_| — ais —Jasasy —} aseaw—|eassaw ta el poe Tennis — ese -eaan | — was Joan -—} avaew | earzew ta Se ascent] — as — joss —} asamas | areas} a ras rosea) — eset] — we — oss | “asa |} area} a ee fi rasa ae-tran | — wan — oa | asa} ace} eee é Tass — e-em] wes Joss | rasa} aces] oe sad sco la a ly a is aba anette ont Pelee ace ocean 3 (isc pieces curt aa Premium paid under Pension plan Is provided exemption under section 80 CCO(1) ofthe IT act 1961, Premium pald Under Other plan is provided exemption under Sec 80 C ofthe IT Act 1061 Premium Amount for Critical liness & Healt pian are exempt under 80 D of he IT Act 1961 = This is a computer generated statement and does not require any signature

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