LIC OF INDIA
For the refund of amount left after the policy is surrendered

NAME: MONIKA GUPTA

ADDRESS: A/68 VISHWA BANK COLONY,

BARRA, KANPUR-208027, UP.

POLICY NO: 233550276

NAME OF THE NOMINEE: R.N.DEY

POLICY DATE: 29-01

SURRENDER DATE: 07-05

POLICY TYPE: ONE TIME

TOTAL AMOUNT OF POLICY : 76, 850 Rupees

AMOUNT TAKEN: 50, 000 Rupees

AMOUNT THAT HAS TO REFUND : 26, 850 Rupees

ISSUING BRANCH: LIC OF INDIA C.B.O.1st

16/112, BNARGAVA STATE, CIVIL LINES, KANPUR-208001, UP.

ISSUING BRANCH CODE: 232

Please take the required actions as soon as possible.

Company: LIC OF INDIA
Country: India
State: Uttar Pradesh
City: Kanpur Nagar

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