LIFE INSURANCE PREMIUM CERTIFICATE

( Financial Year 2013-2014)

PRASHANT NAGARI
NAGARI HOUSE B-93
KHAR DANDA
KHAR WEST

MUMBAI
MAHARASHTRA
ZIP: 400052
PHONE: 9820750430
This is to certify the following details:
Policy Number

U016675559

Basic Plan

Insured Name

PRASHANT NAGARI

Policyowner Name

Face Amount
(`/Units)

750,000.00

Mode of Premium

Tata AIA Life InvestAssure Flexi (110L055V01)

PRASHANT NAGARI

MONTHLY

Tax Sections #
80 C of Income Tax Act, 1961 *
80 CCC of Income Tax Act, 1961**
80D of Income Tax Act, 1961 ***
Total Premium
Service Tax
Total amount paid during the Financial Year2013-2014 :
Total amount of Top up premium paid during the Financial Year 2013-2014 :

Amount (`)
33,320.00
0.00
0.00
33,320.00
0.00
33,320.00

* Includes Life Plans, Riders and Immediate Annuity products.

** Includes Pension Plans. Tax benefit is not available for premium payment through automatic loans from Cash Value of the policy if
any, as per the policy provisions.
*** Includes Health Plans & Health Riders. Tax benefit is not available for premium payment in cash or through automatic loans
from Cash Value of the policy if any, as per the policy provisions.

Date: 14 December,2013
This is a computer generated statement and does not require signature.
Service tax is applicable as per governing laws and the same shall be borne by the policyholder. Tata AIA Life Insurance Company Limited reserves the
right to recover from the policyholder, any levies and duties (including service tax), as imposed by the government from time to time.
Service tax Registration Number: AABCT3784CST001
Category of Service: Life Insurance Service and / or Management of investment under ULIP Services

# Income Tax benefits would be available as per the prevailing income tax laws, subject to fulfillment of conditions stipulated therein. Tata AIA Life
Insurance Company Ltd. does not assume responsibility on tax implication mentioned anywhere in this document. Please consult your own tax consultant
to know the tax benefits available to you.

Tata AIA Life Insurance Company Ltd. (Regn. No. 110)

Regd. & Corporate office: 14th Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai-400 013 .
Please feel free to contact us at our Customer Service on our helpline number 18002679966 (toll free) or 18602669966