7/15/2014 TaxCertificateHome

https://customer.onlinelic.in/LICEPS/appmanager/Generic/TaxCertificateHome?selectedValues=bukgd4| 616614858| 2013| 1/1

Life Insurance Corporation of India
PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054
PREMIUM PAID CERTIFICATE FOR THE YEAR 2013-2014
DATE OF ISSUE: 15/07/2014
This is to certify that the following premium have been received under the
following life insurance policy held by K Nagendra
Name K Nagendra
Policy Number 616614858
Plan 149(Jeevan Anand)
Policy Term 74
Premium Paying Term 19
Commencement Date 15/11/2011
Instalment Premium 2,267.00
Mode Of Premium Payment QLY
Reference Code 62346848
Due
From
Due To
Number Of
Instalments
Premium Amount
Received
Received
Date
Collecting
Branch
Status
05/2013 05/2013 1 2,267.00 07/05/2013 611 Normal
08/2013 08/2013 1 2,267.00 05/08/2013 611 Normal
11/2013 11/2013 1 2,267.00 06/11/2013 611 Normal
02/2014 02/2014 1 2,267.00 06/02/2014 611 Normal
Total amount received towards premium for the policy number 616614858
is Rs. 9,068.00 for the financial year 2013-2014
This certificate is electronically generated