Collecting Center : A002 Branch Code : 17J

LIC of India, Pehowa Branch

BOC No. : 900383 LIC OF INDIA,PEHOWA BRANCH
KAITHAL ROAD
Date ( Time ): 07/08/2023 ( 16:28:57 ) PEHOWA, 132128
email: BO_17J@LICINDIA.COM
Branch. : 17J Call Center No: 022-68276827

PROPOSAL DEPOSIT RECEIPT

Received with thanks Rs. 4,871.00 (Rupees Four Thousand Eight Hundred Seventy One Only) from proposer
Shri/Smt/Kum.SEEMA towards proposal deposit.

Type of Proposal Deposit : Individual

Plan (Plan Description) : 933 (LIC's Jeevan Lakshya Plan)

Agency Code : 0227117J

Dev. Officer Code : 374017

For Life Insurance Corporation of India,

Sh Anil Kumar Dabra(174216)

Acceptance of this deposit does not make the Corporation liable for acceptance of risk
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BOC No: 900383 Date (Time): 07/08/2023(16:28:57) Branch : 17J

Type of Proposal Deposit : Individual Plan : 933 (LIC's Jeevan Lakshya Plan)

Proposers Short Name : SEEMA

Agency Code : 0227117J Agents Name : Priyanka Devi

Dev. Officer Code : 374017

Deposit Amount : Rs.4,871.00 (Rupees Four Thousand Eight Hundred Seventy One Only)

Check the authenticity of the receipt using following url:

https://services.licindia.in/validatereceipt

Zindagi Ke Saath Bhi, Zindagi Ke Baad Bhi