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3/17/2011

TaxCertificateHome
Life Insuranc e Corporation of India PCMC, Network Operating Center 1st Floor, Jeevan Seva Annexe S.V.Road, Santac ruz(W) Mumbai - 400 054 PREMIUM PAID CERTIFICATE FOR THE YEAR 2010-2011 DATE OF ISSUE: 17/03/2011

This is to c ertify that the following premium have been rec eived under the following life insuranc e polic y held by Sri Vikram Seth
Name Policy Number Plan Policy Term Premium Paying Term Commencement Date Instalment Premium Mode Of Premium Payment Reference Code Sri Vikram Seth 263125280 131 (Jeevan Asha - II) 25 25 28/05/2003 26,611.00 YLY 23547380

Due From

Due To

Number Of Instalments

Premium Amount Received 26,611.00

Received Date

Collecting Branch

Status Normal

05/2010 05/2010 1

27/10/2010 265

Total amount rec eived towards premium for the policy number 263125280 is Rs. 26,611.00 for the financial year 2010-2011

This certific ate is elec tronic ally generated
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