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Premium Receipts (1) 2019

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0% found this document useful (0 votes)
39 views1 page

Premium Receipts (1) 2019

fdsgfgdfgfg

Uploaded by

amit22505
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Premium Receipt

Date: 10-JUN-19
Receipt No.: 602810806 /2018-19/02
Plan Name: Max Life Max Amsure Secure Returns Builder ULIP-Level-Standard - 104L032V01
Duration for which the premium is received: 10-JUN-19 to 09-JUN-2020
Policy Number: 602810806 Premium Amount: ` 10,000.00
Policyholder Name: Mr. Kaul Ram Sharma Life Insured Name: Mr. Kaul Ram Sharma
Address: Vill Chaprani Agent Name: Asha .
Po Himri Teh Suni Agent Code: 611683
- Agent Contact No: 7973206598
Shimla - 171018
PAN Number: BQTPS5673M
Himachal Pradesh
Mobile No. 9988133283
Landline no. 176-02525505-
Email ID Please inform us for regular updates

Summary of the policy information


Date of commencement: 10-JUN-2007 Next Due Date: 10-JUN-2020
Date of Maturity: 10-JUN-2022 Sum Assured: ` 1,00,000.00
Premium payment Mode: Annual Rider Sum Assured: ` 0.00
Policy Terms in years(Period of 15 Years
Coverage): Premium Received / Top Up# /
Indexed Premium Received# ` 10,000.00
Premium payment term in years (period Regular (Rs.)
of which premium to be paid):

Paid by e-Stamps Certificate no. 55/Issue Date:10/04/19/ Vide Treasury (E-CHALLAN) GRN NO. 45743956.45743956
FUND STATEMENT AS ON 10-JUN-19
Closing
Allocation Summary
Summary
Particulars Closing Market Market Value
Units (A) Price of Fund
(Nos) (B) (Rs.) (A x B)*
Growth Fund-Pr Driven - ULIF00125/06/04LIFEGROWTH104 2,710.97 59.08 160,172.89
Total 160,172.89
Important Note:
1. If the payment has been made other than in cash, this receipt is conditional upon realization of the amount in Max Life's account.
2. Amount received would be adjusted against the due premium as per the policy contract. In case policy status is lapsed, the risk coverage
is subject to the reinstatement as per terms and conditions of policy.
3. Premiums may be eligible for tax benefits under section 80C/80CCC/80D/37(1) of the Income Tax Act 1961. You are advised to seek an
opinion of a tax advisor in relation to the applicable tax benefits and liabilities. The above mentioned amount includes GST as per prevailing
provisions of GST laws. All applicable taxes including GST, cesses or any other taxes, charges, levies as per prevailing laws, shall be borne
by you.
4. You may request a detailed policy account statement by writing to us at the below mentioned details.

URM21 V4.3 22112018 2019-06-10.03.35.14.280981


E.&O.E

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