You are on page 1of 1

# I

-*.
GUARDIAN
LrrE rNsur^Nca
Guardian Life Insurance Limited
Head Office: Siddique Tower, 49 Mohakhali C/A, Dhaka_tlt2.

CERTTFTCATE OF PREMTUM PAYMENT (Fy_2017_18) Date: 12109120t8

This is to cerTiff that MOHAMMAD KAWSER AHAMMED is a policy owner


of our company under
policy no.10751 with sum assured of BDT. 444,640.00
and made followings premium payment(s)
against the respective due date (s):

Due Date Premium in BDT.


2810912017 2,102.00
28ltol2ol7 2,702.00
2Bl1U20t7 2,702.00
2811212017

2BlOU2O7B 2,702.00
28lOzlifll 2,702.00
nlosl2ota 2,702.00
2810412018 2,to).to
28lOsl2OlS 2,702.00
2810612018 2,10).OO-

2t,o2o.oo
Taka In Word: Twenty-One Thousand Twenty Only.
r--.\ N;+l-h*^
Authorized Signature

tr.iusrat Jal-ran
$enior Officer
iJnderwriting & lclicy Serrcin0 De0artmerlt
Guardian Li{e lnsuranie i_irnileci
He:i Cflice. Dha!a

You might also like