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    Premium Paid Certificate

    Uploaded by

    msurendra642
    This certificate confirms that Mr. Surendra Kumar paid annual premiums for his Bajaj Allianz Life Insurance policy from April 1, 2020 to March 31, 2021. The policy is a POS_GOAL_SURAKSHA plan with a sum assured of Rs. 150,000 and an annual premium of Rs. 15,000 was received on January 25, 2021. The certificate is issued to claim applicable tax deductions and rebates under the Income Tax Act of 1961.

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    Premium Paid Certificate

    Uploaded by

    msurendra642
    364 views1 page
    This certificate confirms that Mr. Surendra Kumar paid annual premiums for his Bajaj Allianz Life Insurance policy from April 1, 2020 to March 31, 2021. The policy is a POS_GOAL_SURAKSHA plan with a sum assured of Rs. 150,000 and an annual premium of Rs. 15,000 was received on January 25, 2021. The certificate is issued to claim applicable tax deductions and rebates under the Income Tax Act of 1961.

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    Premium Paid Certificate (1)

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    This certificate confirms that Mr. Surendra Kumar paid annual premiums for his Bajaj Allianz Life Insurance policy from April 1, 2020 to March 31, 2021. The policy is a POS_GOAL_SURAKSHA plan with a sum assured of Rs. 150,000 and an annual premium of Rs. 15,000 was received on January 25, 2021. The certificate is issued to claim applicable tax deductions and rebates under the Income Tax Act of 1961.

    Copyright:

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

    Premium Paid Certificate

    Uploaded by

    msurendra642
    This certificate confirms that Mr. Surendra Kumar paid annual premiums for his Bajaj Allianz Life Insurance policy from April 1, 2020 to March 31, 2021. The policy is a POS_GOAL_SURAKSHA plan with a sum assured of Rs. 150,000 and an annual premium of Rs. 15,000 was received on January 25, 2021. The certificate is issued to claim applicable tax deductions and rebates under the Income Tax Act of 1961.

    Copyright:

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

    Bajaj Allianz Life Insurance Co. Ltd.

    To,
    SURENDRA KUMAR Date :28-11-2023
    HNO 108 BIJARKHATA UTTRI 1,
    POLICE STATION SUAR TEHSIL SUAR~SUAR,
    RAMPUR,
    RAMPUR,
    UTTAR PRADESH,
    IN 244924

    Certificate For Premium Paid


    (01-04-2020 To 31-03-2021)

    Assignee: MR SURENDRA KUMAR

    This is to certify that the premium under the following policies taken by the policyholder SURENDRA KUMAR have been
    received by Bajaj Allianz Life Insurance Company Limited during the Financial Year 2020-2021

    Total
    Premium Policy Life Health Care
    Premium Due Premium Sum Premium
    Policy No. Product Name IP Adjustment installment Insurance Premium
    Date Type Assured Amount
    Date premium Premium (1) (2)
    Received

    POS_GOAL_SUR First
    0435698667 MR SURENDRA KUMAR 25-01-2021 25-01-2021 150000 15000 15000 15000 0
    AKSHA Premium

    Total: 15000 15000 15000 0

    Note:
    This certificate is issued for the purpose of claiming deductions, rebates as per the provisions of Income Tax Act, 1961
    1. Receipts issued subject to realization of cheques.

    2. Life Insurance Premium is eligible for tax rebate/deduction under Section 80C.
    3. HCB/CI/Post Hospitalization/Surgical Benefit Rider Premium is eligible for tax rebate/deduction under Section 80D.
    4. Partial Withdrawals, surrender Values, Death Benefit and Maturity Benefit are eligible for Tax Benefit as per Sec 10 (10D) of
    Income Tax Act.
    5. Policies where the premium exceeds 20% of sum assured with date of commencement prior to 1st April 2012 and the policies
    where the premium exceeds 10% of sum assured with date of commencement from 01st April 2012, will not be eligible for tax
    benefits u/s 10(10D) and u/s 80C.
    6. For your actual eligibility please refer to provisions of IT Act 1961 as modified and consult your tax consultant.

    Disclaimer:In compliance of the provisions relating to deduction of tax at source under section 194 DA of Income Tax Act,1961 as introduced by Finance
    Act,2014,any payment(except payment exempted u/s 194DA) made by Bajaj Allianz Life Insurance Co Ltd shall be subject to deduction of applicable TDS.In
    absence of PAN details,TDS would be deducted @20% instead of 1%(w.e.f 01-June-2016)in case where PAN is provided.TDS once deducted shall not be
    refunded.**GST is applicable w.e.f 01-July-2017

    Note: This is a computer-generated letter and does not required a signature.

    Regd. & Head Office : Bajaj Allianz House, Airport Road, Yerwada, Pune 411 006. Mail us: [email protected], Call on: Toll free
    No. 1800 209 7272, Fax No. 02066026789

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