Encls: 1. DoB Certificate of Nominee 2. NEFT form (Signature of Beneficiary / Nominee) To be completed by A/Cs / Pay Roll Remittance particulars after last schedule i.e. as on 31st March of the Preceding Year) Month Year Employer Share of Employee Share of Contribution Contribution April May June July August September October November December January February The particulars at Sl. No. 1 to 10 have been verified at our end and we certify that these are correct. Signature with Seal Head of the Office Trustee, BSNL Employees Superannuation Pension Fund Trust LIFE INSURANCE CORPORATION OF INDIA P & GS DEPTT, JEEVAN PRAKASH, 25 K G MARG, NEW DELHI 110001; PH NO (011)23350678, 23314970, 23354984, TOLL FREE 1800118899 OPTION FOR ANNUITY PAYMENT BY NEFT The following is a confirmation of my bank account details and I hereby affirm my choice to opt for payment of annuity through NEFT. I understand that LIC OF INDIA also reserves the right to send the annuity payable to me by a physical cheque on account of any unforeseen circumstances beyond the control of LIC of INDIA, that may affect payment of annuity through NEFT. Name of Beneficiary:
Encls: 1. DoB Certificate of Nominee 2. NEFT form (Signature of Beneficiary / Nominee) To be completed by A/Cs / Pay Roll Remittance particulars after last schedule i.e. as on 31st March of the Preceding Year) Month Year Employer Share of Contribution Employee Share of Contribution April May June July August September October November December January February The particulars at Sl. No. 1 to 10 have been verified at our end and we certify that these are correct. Signature with Seal Head of the Office Trustee, BSNL Employees Superannuation Pension Fund Trust LIFE INSURANCE CORPORATION OF INDIA P & GS DEPTT, JEEVAN PRAKASH, 25 K G MARG, NEW DELHI 110001; PH NO (011)23350678, 23314970, 23354984, TOLL FREE 1800118899 OPTION FOR ANNUITY PAYMENT BY NEFT The following is a confirmation of my bank account details and I hereby affirm my choice to opt for payment of annuity through NEFT. I understand that LIC OF INDIA also reserves the right to send the annuity payable to me by a physical cheque on account of any unforeseen circumstances beyond the control of LIC of INDIA, that may affect payment of annuity through NEFT. Name of Beneficiary:
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