bla

aLTa
el

ac /Ref: wet/NB PART-A iw Dawe) YO a

ara arafaa a vet ai ste ag 2: / Address and bs naiG ot Birch Office:
UNIT-1L JALANDHAR
JEEVAN PARKASH BUILDING
MODEL TOWN ROAD
JALANDHAR 144001
Email: bo_141@licindia.com

AVI NARANG
$/Q SUNTL N&RANG
HNO 181-NR SANTOKHPURA
BIIJLI GHAR SARABHA NAGAR JAL
AAdnoa
fie offerors, Dear Policyholder,
war : argh offertt a Re: Your Policy No.
i ane serra oie eereney( ‘sh! alata ax 3 4- We have pleasure in forwartng hemry e above Polizy
" : Ber eMG a Document comprising of Part A to Part G which please find in order.
Bide wet & wom oe fag Sse . : ‘ . ;
. We would also like to draw your kind attention to the information
Bi ane ear cies & aqeet 4 seafea arent sik ceri & ce = mentioned in the Schedule of the Policy and the benefts
Boeee arnt at site ot anenfta aear ere, available under the Policy.
Some of our plans have certain options (including rider(:))
want ge aierrsi & sini ge Pes (sagle (aT) wee) soeen &, Te available under them. It is important that the options, if ary,
aera & fir ge diet & sivas soc afk offen eae 4 cities fears, available under this plan and mentioned in the policy document
afe ag &, at areertace ate fro ond, waif soe feaccl 4 fet are noted carefully as it will be helpful to you, in case you decide
to exercise any of the available options. It is also essental
faerea or parr wet oR Ue sats fae wera aT. aE Ale aT Mi aravawB to note that such option, if available and mentioned in tne
fis te frog, o& eres ft sik ga ahot & carder S afta &, at wet an document of this plan has to be exercised in the right manrer
and during the stipulated time limit as prescribed herein.
@ she aa-aaa diet & de, Sear fi sa Proifte fear &, wan Peat GAT 2)
Free Look Period
Pigqee sarees stati
We would request you to go through the terms and conditio1s
ARI sae sate & fe so cifeet HH sat wi Peer wt og sk aie ong of Policy and in case you disagree with any of the terms axd
fort too dk Paes 8 seese &, ct oro oifeet cenae oifta a at conditions, you may return the Policy within a period of 15 days
from the date of receipt of policy document stating the reasons of
ante a 15 fea & tiex oie at ans anoftal afk ameaia & areal ar your objections and disagreement. On receipt of the policy we shall
Bers Be A citer @. oie oer ee OER Te eer aR SF ie oe cancel the same and the amount of premium deposited by you
ge ar aed aa fies A of ane A aft & fay ate sie shall be retunded to you after deducting the proportionate risk
premium (for Base Policy and riders, if any) for the period of
shers (ape ator the srg (a) & fre, af ger en wt) atte Pafteoer ae cover and charges for medical examination, special reports. if
ao wd, Rate Rote ale aig ai sie cers gee Hi wih ane eR ater St art any and stamp duty.

are amt ag frevoa start, ef at srg eer asates Heees cd oe or renee Pen aftert/ateore 3 wes ax Te z, ferent ger Ate fear zat 2:
In case you have any Complaints/Grievance. you may approach the Branch Office on the address mentioned above or Grievance Redressal Office r /
Ombudsman, whose address is as under:
farenraa Paro afta} a cat / Address of Grievance Redressal Officer: af am gu wee 9 ag gfe od F at a ERs
e ~, fore ag Tere wi aoe oer ee
If you find any errors in this Policy
Document, you may return this Policy fo
corrections.
Manager (CRM) JALANDHAR ugare. / Thanking you.
LIC OF INDIA
WEE VAN PARKASH BUILDING i ‘=
Tel

ROPE, eRe JALANDHAR a

@l Gear / Address and contact details
of Insurance Ombudsman: YS!

fe undress ater Fr
Fa ye / aR RT,
7 p. Chief/ Sr. / Branch Manager
Office of
Insurancethe Ombudsman, =
Call Center No. (24 x 7)
S.C.0. NO. 2nd BOL1L03,
Floor,
Batra Building, Sector L7 =D, 022 - 6827 6827
Khandigarh 160 O17 Fax 01 72~2708 274 wf
eet Helge eh t/t 3! A
Nhone-~OL Fe 2796469 /2
ORY Take Fahne thar yS Chile / Name / Mobile No. / Landline No.

LIG's NéwiEndéwmentPianVTIAY KUMAR. Page 1 of 20 Plan No.- 914

OBSS015 PE1552¢6070
 yaa ws oat / SCHEDULE ‘
Husa wate / DIVISIONAL OFFICE: DIVISION WOME srararafe/ BRANCH OFFICE: 14.
Pecks! DIZN2Z77VO2 [att den: 144B97
7G
UIN: Policy Number:
aiort ter Seret St safe - . 7 der aft (2) > .
Plan & Policy Term: 914~35 Boake ton towed oom Oe
ee aes mh St Re wifer ares er St ter: i
Date of Commencement
of 12/08/ 2021 Date of Commencement of Risk: 12/08 Food
Policy:
Oferet ont eet St BE 5 ORreear a fare : =
Date of Issuance of policy: 12/68/2021 Date of Maturity: 12/08/2056
sition gram a fate MLY Sp Sitret & fry aifte sites & pra A - 12/07/7056
Mode of payment of Premium : Due Date of Payment of last premium for Base Policy:
sifhom
én fete. ‘Wiferst & fad fave pikes (=) : 2ao| =
Due date of ae 12th cient Premium
for Base Policy (Rs.) : " es = 34
ge Ree tea (e) (Sea cea yarae, ae oe ai at wom
F fee TR) 42:9 J00
Total instalment | Premium (Rs.): (Taxes, if any ,as applicable
from time to time are charged extra)
Fe feeers feel 4 SF we feews ee er a ae? N
Whether Option to take Death Benefit in instalments taken?
ie Sage er Barz Details
of Rider opted
al +r [se safe Ses | aqele dite ait age & By te & Rr sts apie wait hh aR
set Sere UIN : ares gh & Re Rider
Sum Assured | fea/ Hm fart / | Date
of expiry cf
Sr. Rider Date of Instalment Premium Oue Date of payment | Rider
No. | Opted: Commencement of for Rider of last premium
; Risk for Rider for Rider
L AUDE SIZEZ09V02 L2Z/0s/7Z1 2 OOO 15.607 Lefpuls soo Lae /S6

WE:
Seas 23g (i) Sed ge Seah & se gees 4 See Bi Note: Conditions of rider(s) opted and mentioned above are enclosed as endorsement to the policy.
FHHSE ST Ae Se Tay Name and address of Proposer
RTE BET 1658
Proposal No.
AVI NARANG
3/0 SUNIL NARANG were 12/08/2392)
HMO 2B1-NR SANTOKHPURA - Dateof Prupossl
BIJLI GHAR SARABHA NAGAR JAL Seeceqercdicidien
144004 Benefit Illustration reference No N 0000 300006
‘ata eas on Ae Te cet Name and address of Life Assured Bike cafte at aft:
AVT NARANG Date of Birth of the Life Assured O1L/10/13996
3/0 SUNIL NAaRANG daicadinsicn ~~
HNO 181-NR SANTOKHPURA ies dutta 25
BIJLI GHAR SARABHA NAGAR Jal aan —
; wag ?
144004 Whether Age Admitted? ¥
oer
—

ai sas 1998 St ory oo & serie aris a Details of Nominee(s) under Section 39 of the Insurance Act,1938 —
ama eas/ og / tee a & are eee / Far weet Nomineets) Name / Age / Relationship to the Life assured / Percentage Share

SUNIL. NARANG 55 Father LOOZ

ge ae a ae [38 athe wie sere 8, ot] / Appointee Name [in case the Nominee is a minor] |]

sian tam @ sat /oeiog | site ten & rere Arita te Mm Mite mR A owe eh a BR oe ~|
During which premium payable Till the stipulatec due date of payment of last premium or earlier death of the Life Assured 2. ||
ifton toe at Refers Site
20 fre eR. at = ~ .
eee ce tale On the stipulated due date in Ever ¥ Month

Ser & Sy ast man arene oe peer, farmer wer we Set ong S eS Ges 4S feo wer t een Pees es CR A Seite Sh eR fen ET
Signed on behalf of the Corporation at the above mentioned Branch Offite, whose address and e-mail ID is Biven on the first page and to which all communications
relating t policy stould
be addressed,

The duly stamped e-Policy has bees-diwl RYE

fare / pate: 13/08/2021 _
‘aiererat / Examined by : 154765 apres ere rg gt
Wa Bea / Form No. : pigeon /atts Pinal Wwale Jou EE eeth enanagee
CONSOLIDATED STAMP OUTY PAID VIDE PUNJAB GOVERNMENT
ORDER NO. 24/185/11- a 2/ DATED 15-06-7021
MUDRANK DETAILS \INE~ 80.900
LIC'S(New EndownientPlan3
370 Ema i: 1 Page 4 of 20 Plan No.- 914