12/01/2019 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 CERTIFICATE FOR THE YEAR 2020•2021

DATE OF ISSUE: 01/12/2020

This is to certify that the following premium have been received under
the following life insurance policy held by Manisha Singh

Name Manisha Singh

Policy Number 381571366
Plan 826(Jeevan Shagun)
Policy Term 12
Premium Paying Term 2
Commencement Date 28/11/2017
Installment Premium 68,340.00
Mode Of Premium Payment SGL
Reference Code 11401812

Due Number Of Premium Amount Received Collecting

Due To Status
From Installment Received Date Branch
s
11/2020 11/2022 24 68,340.00 29/12/2020 915 Normal

Total amount received towards premium for the policy number

381571366 is Rs. 68,340.00 for the financial year 2020•2021

This certificate is electronically generated

https://merchant.onlinelic.in/LICMerchant/appmanager/Generic/TaxCertificateHome?selectedValues=381571366|2020|N|eilyzi 1/1