Place,

Month date year

To

The Senior Branch Manager,

Life Insurance Corporation of India,

Pension and Group Schemes Department,

Divisional Office,

P & GS Unit,

C/o Life Insurance Corporation of India,

College Road,

Kadapa – 516 004.

Sir,

Sub : Payment of your pending Bill – Reg.

Ref : Master Policy Number : ********* and Your Letter Dated dd/mm/yyyy

******

With reference to the above subject, I am herewith enclosing a Cheque drawn on Bankname,
Kadapa bearing Cheque No. ***** dated *** Month, year for Rs. amount (Rupees Five
Thousand Four Hundred and Forty Eight Only) towards cost of Balance premium of our newly
joined employees for the period ending 31 st March, year. Kindly acknowledge the receipt of
the same.

Thanking you,