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    2018032388

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    Vengal reddy
    This receipt documents a monthly life insurance premium payment of Rs. 1,344.60 made by Mr. Manoj Kumar for his Max Life Online Term Plan Plus policy covering Rs. 1,00,00,000 sum assured for the period of 12-DEC-2017 to 11-JAN-2018. The payment includes Rs. 205.11 in GST and covers the base plan and waiver of premium rider.

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    2018032388

    Uploaded by

    Vengal reddy
    111 views1 page
    This receipt documents a monthly life insurance premium payment of Rs. 1,344.60 made by Mr. Manoj Kumar for his Max Life Online Term Plan Plus policy covering Rs. 1,00,00,000 sum assured for the period of 12-DEC-2017 to 11-JAN-2018. The payment includes Rs. 205.11 in GST and covers the base plan and waiver of premium rider.

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    This receipt documents a monthly life insurance premium payment of Rs. 1,344.60 made by Mr. Manoj Kumar for his Max Life Online Term Plan Plus policy covering Rs. 1,00,00,000 sum assured for the period of 12-DEC-2017 to 11-JAN-2018. The payment includes Rs. 205.11 in GST and covers the base plan and waiver of premium rider.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    111 views1 page

    2018032388

    Uploaded by

    Vengal reddy
    This receipt documents a monthly life insurance premium payment of Rs. 1,344.60 made by Mr. Manoj Kumar for his Max Life Online Term Plan Plus policy covering Rs. 1,00,00,000 sum assured for the period of 12-DEC-2017 to 11-JAN-2018. The payment includes Rs. 205.11 in GST and covers the base plan and waiver of premium rider.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Date: 13-Dec-2017

    Receipt No.: 139684310 DEC201701

    Life Insurance Premium Receipt


    Duration For Which the Premium is Received: 12-DEC-2017 to 11-JAN-2018
    Personal Details
    Policy Number: 139684310 Current residential state: Bihar
    Policyholder Name: Mr. Manoj Kumar Mobile No. 8986490886
    Commuinication Address: FLAT NO. 101 RAM RISHI Landline no. Please inform us for regular updates
    APARTMENT PROFESSOR Life Insured Name: MR. MANOJ KUMAR
    COLONY PAN Number: BQJPK5050N
    NORTH SHASTRI NAGAR
    Patna - 800023
    Email ID: [email protected]

    Policy Details
    Plan Name: Max Life Online Term Plan PlusMax Life Waiver Of Premium Plus Rider CO - 104N092V02
    Policy Term 40 Years Premium Payment Frequency Monthly
    Date of Commencement 12-DEC-2017 Date of Maturity 12-DEC-2057
    Last Premium Due Date 12-DEC-2017 Next Due Date 12-JAN-2018
    Reinstatement Interest (incl. GST) ` 0.00 Model Premium (incl. GST) ` 1,344.60
    Total Premium Received (incl. GST)* ` 1,344.60 Total Sum Assured of base plan and term ` 1,00,00,000.00
    rider (if any)
    Agent's Name Coverfox Insurance Brokin Agent's Contact No.
    18002005522
    Head Office

    GST Details
    Coverage Type SAC Code GST (INR) GSTIN 27AACCM3201E1Z3
    Base 997132 ` 194.83 GST Regd. State Maharashtra
    Rider 997132 ` 10.28 Affix
    Reinstatement Interest ` 0.00 Re1
    revenue
    Total ` 205.11
    stamp

    Important Note:
    *For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk
    commencement starts after acceptance of risk by us. *Amount received would be adjusted against the due premium as per terms and conditions of the policy. *Premium paid would be
    eligible for deduction as per the provision of Income Tax Act, 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due to changes in legislation
    or government notification. *Applicable Taxes, Cesses and Levies, as per prevailing laws, shall be borne by you. *For GST purposes,this premium receipt is Tax Invoice.Assessable
    Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%; Single Premium Annuity is 10%; Term and Health is 100%. In case of unit linked product GST is applicable
    on charges.

    Authorised signatory

    PRM20

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