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LIFE INSURANCE CORPORATION OF INDIA

====================================
Branch Address
DERABASSI
NEAR BUS STAND
CHANDIGARH-AMBALA HIGHWAY
DERA BASSI,DT.MOHALI
140507

Ref: BO/1121/ PS/Revivals Date: 22/01/2021

BICHITRA KUMAR MOHAPATRA

S/O SH GAGAN BIHARI MOHAPATRA
E/82, SECTOR-18
ROURKELA DT-ODISHA
769003

Dear Customer,

Re: Special Revival Campaign : Policy no.165632341

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Greetings from LIC Of India! As a part of our ongoing efforts to renew your
relationship with us, we are happy to announce a special revival campaign for
a certain group of policies from 07/01/2021. Your policy falls under this
group. We find that your policy is lapsed due to non-payment of premium due
02/2018 and this campaign offers an opportunity to revive your policy and
continue with the insurance benefit as per your chosen plan and term.

We have a limited period offer for our valued customers. This special offer
comes with a concession on the late fee required for revival of your
policy, we also offer certain concession in medical requirements if
applicable , under your policy.

Total amount payable for revival under your policy is given below -

Policy no:-165632341 Plan and term:-815-25-25 Sum Assured:- 100000

----------------------------------------------------------------------------
| |Total amount payable | Total amount payable |
| | upto 06/02/2021 | upto 06/03/2021 |
|-------------------------|-----------------------|------------------------|
|Total amount of premium | 13842.00 | 16149.00 |
|-------------------------|-----------------------|------------------------|
|Late fee | 2492.00 | 2640.00 |
|-------------------------|-----------------------|------------------------|
|Total amount payable | 16334.00 | 18789.00 |
|-------------------------|-----------------------|------------------------|
|Less :-Discount on | | |
| late fee | 498.40 | 528.00 |
|-------------------------|-----------------------|------------------------|
| GST+ KFC(if applicable)| 670.38 | 743.53 |
|-------------------------|-----------------------|------------------------|
|NET amount payable | 16506.00 | 19005.00 |
----------------------------------------------------------------------------
YOU EARN :- Bonus before Revival - Rs. 15200.00
Bonus After Revival - Rs. 29500.00
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Hurry, this is a limited period offer and is only valid upto 06.03.2021. If
your policy is eligible, the option of SB-cum-revival and Loan-cum-revival is
also available.

Please contact your agent or LIC branch at the above mentioned address for
revival requirements .

We also request you to submit your NEFT details, email ID mobile number, PAN
if not provided Earlier. NEFT mandate can be downloaded from www.licindia.in.

We value your association with us and assure you of our best services at all
times.
Chief/Sr/Branch Manager