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    Life Insurance Corporation of India: Discharge Slip

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    adirocks89

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    Life Insurance Corporation of India: Discharge Slip

    Uploaded by

    adirocks89
    11 views1 page

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    11 views1 page

    Life Insurance Corporation of India: Discharge Slip

    Uploaded by

    adirocks89

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Life Insurance Corporation of India

    Pension & Group Schemes Unit “Jeevan Prakash” 6th & 7th Floor 25 K.G. Marg, New Delhi- 110001

    DISCHARGE SLIP

    Received a sum of Rupees ____________________________________

    from the Life Insurance Corp. Of India in full and final settlement of all our claims

    and demands in respect of Shri _________________________________ Annuity

    No. ___________________________ Under Master Policy No._______________

    who expired on __________________________.

    Dated _______________ on this _________________ day of__________

    Revenue Stamp

    Nominee Signature

    Witness Signature Signature of authorized

    Signatory/Trustee

    Name Name

    Department Department

    Designation Designation

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