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0713535580

PREMIUM RECEIPT
Policy Number : 0170444876
Policy Holder Name : MR RAMANDEEP SINGH

Address :

G-55, KIRAN
GARDEN, UTTAM
 NAGAR
NEW DELHI
110059

Receipt No. 0713535580 Payment Date 18/04/2019

Received with thanks from MR RAMANDEEP SINGH

Gross Amount (in Rs.) 55,000

Amount in Rs.(in Words) Fifty-Five Thousand Rupees Only

Mode of payment Debit Card

55,000
Premium Amount Rs.

Product Name CENTURY PLUS 2

Name of Life Assured MR RAMANDEEP SINGH

18/04/2019
Date Of Commencement Deposit B/F N/A GST 0.0

Date Of Maturity 17/10/2033 Deposit C/F N/A

Mode Yearly X Change B/F 0.0

Late Fees

STM CODE 1100088759 I.C Code 1001034376

NEXT PREMIUM DUE DATE 15-Apr-2020

Utilization shall be done as per applicable IRDA Guidelines in this regards

Advance premium collected shall be utilized on premium due date. Amount held in deposit will not attract any interest. For eligibility under applicable sections of Income Tax Act 1961. Please
refer relavant provisions and rules.

*This is computer generated premium receipt and does not require any signature.

Visit our website: www.bajajallianzlife.co.in BSNL: 1800 233 5858, Tata: 1800 209 7272

Email Us: renewalvertical@bajajallianzlife.co.in or life@bajajallianzlife.co.in Bharti: 1800 103 7272, Reliance: 1800 3000 7272

Customer Copy

https://www.greetingsisland.com/design/invitations/our-date/550-
13368