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This is to certify that the following Premium Payments have been made under life insurance policies
Sl.No Policy Number Life Assured Name Premium Inst. GST Total Mode Plan Term Sum Assured
Paid Date Prem. Premium
1 NN011712057476 INDIRA SRINIVASAN 14/12/2017 47588 2221.00 49809.00 Yearly SHRIRAM 10 470000
LIFE
ASSURED
INCOME
PLAN
TOTAL PREMIUM PAID 49809.00 /- (Rupees Forty Nine Thousand Eight Hundred And Nine Only)
Eligible for Deduction under Section 80C, of the Income Tax Act subject to the conditions specified therein.
AUTHORISED
SIGNATORY
Mr.L.Venkatesh