Your Renewal Premium Receipt (Provisional)

Receipt Number: OT062460156

Date: 03-09-2024

Dear Mohit Kumar Singh,

Greetings from HDFC Life!

We thank you for making your renewal premium payment online towards your HDFC Life policy as per the details given below.

Policy Owner name Mr Mohit Kumar Singh

Life Assured name Mr Mohit Kumar Singh

Plan Name Exide Life Guaranteed Income Insurance Plan

Policy Number 04082290

Billing frequency Annual

Premium due date 03-09-2024

Base premium `17607.00

Adjustments `0.00

Late payment interest `0.00

Goods & Services Tax (GST) & applicable Cess*` `396.17

Amount paid `18003.16

Method of payment Debit_Card

Consolidated Revenue Stamp Duty paid to the Government.

Please get in touch with us for any further assistance.
We hope to serve you again.
This is a system generated document, hence does not need a signature.

"Please note, that with effect from 15th Oct 2022, Exide Life Insurance Company Limited has merged into HDFC Life Insurance Company Limited
and the merged entity is known as HDFC Life Insurance Company Limited ("HDFC Life")"
• Premium paid in advance would be credited to your policy on the due date. • Tax benefits on insurance premium are as per prevailing income tax laws and are subject
to amendments made thereto from time to time. • *Goods and Services Tax (GST) and applicable taxes/ cess will be charged as notified by the Government of India
from time to time. • For Unit Linked Policies, GST or any other applicable taxes will be deducted through cancellation of units as per prevailing laws and regulations. •
Avoid the inconvenience of needing to remember due dates or standing in queues to pay your premium by signing up for ECS or SI for direct debit of premium from
your bank account. To know more visit hdfclife.com or your nearest HDFC Life Office. • As per Government of India directive, if you are holding single or multiple
policies where your aggregate premium payment for the financial year is 50,000 or above, please submit PAN card or form 60 / form 61 as applicable.• Please ignore if
you have already submitted the documents. • If payment has been made by cheque,ECS, Standing Instructions, Online the continuation of cover under this policy and
the validity of this receipt is subject to realization of the payment. • Revival of policies is subject to Under writing guidelines and other regulations of HDFC Life .

In case of ULIP Policies: the investment risk in investment portfolio is be borne by the policyholder. For premiums received after 3:00 PM, the NAV of next business day
will be applicable. For ULIP Policies the premium paid is subject to investment risks associated with capital markets and the NAVs of the units may go up or down based
on the performance of fund and factor influencing the capital market and the insured is responsible for his/her decisions.

Call : 022-68446530 (Call charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.

 HDFC Life Insurance Company Limited (HDFC Life). CIN: L65110MH2000PLC128245. IRDAI Registration No. 101.
Registered Office: 13th Floor, Lodha Excelus, Apollo Mills Compound, N. M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Email: service@hdfclife.com, Tel. No: 022-68446530 (Mon - Sat 10 am to 7 pm) Call charges apply. Do NOT prefix any country code. e.g. +91 or 00. Website:
www.hdfclife.com
IRDAI Notice: Beware of Spurious/ Fraud Phone Calls: IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums,
Public receiving such phone calls are requested to lodge a police complaint.

Call : 022-68446530 (Call charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.