CHENNAI - 699 30 /CRM/IPPCELL TI FLOOR, LIC BUILDING 153 ANNA SALAT,CHENNAT-600002 PH + 044~28604117, 28616024, 28616025, 28616026 E-MAIL ID = sz_ippe@li@licindia. com TG Soormenn zonar ope ~~~ cn cs Batic GEfe diguranee corware ion oF inate e Ref !IPP/CHENNAI ZO/E~CERTIFICATE/161/Sep09/01509 1970872009 To SAT_S.KALIVAPERUMAL 4/12-C VALLUVAR STREET THATCHANKURICHI + LALGUDI TK TRICHY DT. PIN 621712 Dear Sir / Madam Re + Certificate of Existenc This is to inform you that the requirement of Certificate of Existence has become due. In order to enable us to continue the payment of annuity with effect from 01/09/2009 , we enclose herewith the format of Certificate of Existence to be attested by @ Campatent Authority a mentioned therein and to bw returned the sane to us inmediately in order to enable us to release the annuity. Thanking You: Yours fai thrurly, EE AS alae Secretary (CAN) +5.2.0 (Since this is a Computer generated output, signatures not required). Policy No. 755299063 Name: SRI S.KALIYAPERUMAL CERTIFICATE OF EXISTENCE ic (The below mentioned Farm should be signed on ar after 01/06/2008 by the Annuitant and ATTESTED by any of the following i Bank Branch Manager / Gazetted Officer / Registered Medical Practitioner/ Post Master / School / College Principal / Class-I Officer of any Government, Semi Government, Quasi Government, Government Undertaking, Public Sector Undertaking / LIC Develapnent Officer / LIC agent ! (STAMPED ALONGWITH THEIR REGISTRATION NOS. 7 CODE NOS. / AGENCY NOS. > iT hereby certify that | Shri 7Smt GAT Ss RALIVAPERUMAL son/daughter | of sl i personally appeared | before me an _ T"and has Signed in my presence and his/her signature! is attested balaw, Tam fully satisfied about nis/her iden _ this day of 1 : Countar Signa : _ Authority (Stanpe: acdress +. A) 71 as ' Resi. Tet. Mabiie Now ! The mandatory requirement af EXISTENCE CERTIFICATE after Vesting as per ! Options is + ies tasGs Hs I - Yearly O17 14 1BYC/D/E- Yearly ( after completion of Guaranteed Period) iF — Once every 3 years.