Manmad (1)

12/22/2016 TaxCertificateHome 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 2016­2017 DATE OF ISSUE: 22/12/2016This is to certify that the following premium have been received underthe following life insurance policy held by Gudi Manmadha ReddyName Gudi Manmadha ReddyPolicy Number 697705314Plan 149(Jeevan Anand)Policy Term 76Premium Paying Term 21Commencement Date 28/11/2012Instalment Premium 25,271.00Mode Of Premium Payment HLYReference Code 61655694Due Due To Number Of Premium Amount Received Collecting StatusFrom Instalments Received Date Branch Normal 25,271.00 Normal05/2016 05/2016 1 25,271.00 10/05/2016 EPS112/2016 12/2016 1 15/12/2016 EPS1Total amount received towards premium for the policy number697705314 is Rs. 50,542.00 for the financial year 2016­2017This certificate is electronically generatedhttps://customer.onlinelic.in/LICEPS/appmanager/Generic/TaxCertificateHome?selectedValues=WTCRGL|807549657|2016|null 1/1