LIFE INSURANCE CORPORATION OF INDIA Policy no. and date Table and Terms Sum Assured of comencement Rs 901259110 90-15 300000 1/3/2001 15
Due Date and mode Instaltment premium of pament payable Rs 01ST 10266 HLY
MRS.MOUSUMI W Date of Maturity--01-03-2016 SHRI.ASIM SARKAR. Date of Last Pament--01-0902015 1/9/2015 78,APARTMENT HOUSE, Date of Barth--06-04-1963 HYDERTABAD ESTATE ,NEPEAN SEA ROAD , Age/Admission-38YES(S) MUMBAI Pincode:- 400036 Marriage Endowmewnt/Educational ANNUITY Plan with profit with Accident benefit The proposer or his assignee or nominees have an option in liue of sum assured 10-hjalf yearly inswtalments at such rates as m Surving on Date of Maturity-sum assured + vest.bonus Date when premium payably Form no j/0069718. BRANCE /923. BRANCE /923. BRANCE /923. BRANCE /923. BRANCE /923. BRANCE /923.
DATE 1/3/2001 00/9/01 30/3/02 24/9/02 9/4/2003
MAR --SEP EVERY YEAR
PREMIUM Rs.10266 Rs.10266 Rs.10266 Rs.10266 Rs.10266
Prosal no and date 6422 16-03-2001
alments at such rates as may be prevalent at the date of maturity.