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23-OCT-2023/OPC224633

American Life Insurance Company


MetLife Building, 18-20 Motijheel C/A
P.O. Box 9, Dhaka-1000, Bangladesh
www.metlife.com.bd
CODE: 092111202

Certificate of Premium Payment


This is to certify that Mr/Mrs. FORROUKH AHMED RAKIB is a policyowner of our Company under
Policy No. 4401435 with sum assured of Tk. 850,000.00. He/She made following Premium
Payment(s) against the respective due date(s) :

DUE DATE PREMIUM IN TK.


01/01/2023 5,888.00
01/02/2023 5,888.00
01/03/2023 5,888.00
01/04/2023 5,888.00
01/05/2023 5,888.00
01/06/2023 5,888.00

This statement is computer generated and does not require signature unless further altered.Please
call 16344/096667161344 or visit your nearest customer service center for any query

American Life Insurance Company is incorporated in the USA as a Limited Company

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