LIFE INSURANCE CORPORATION OF INDIA, CENTRAL OFFICE
SHRI/SMT._________________________S.R. NO.__________FILE NO.:_______
CERTIFICATE OF EXISTENCE
As on 1st August every year
I, ____________________________ hereby certify that the pensioner
Shri/Smt._______________________S.R. No. is seen by me in person
on date. His/Her signature below is attested by me and I am fully satisfied
about his/her identity.
Dated at this day of 200
__________________________ Counter signature of Certifying Authority
(Signature of the Pensioner)
Name :_____________________________
SR No. _____________________________
S R No.
Designation :_________________________
Address:____________________________
____________________________________
____________________________________
SEAL :
NOTE: This certificate should be signed by a Class I Officer of the L.I.C. or a
Gazetted Officer or a Registered Medical Practitioner, Employees of the Corporation
in the cadre of HGA/Development Officer with five years of service or an officer of
any Bank where an account is maintained by the pensioner.