PREMIUM PAID CERTIFICATE

Financial Year : 2009-2019

February 4, 2020
Policy Owner : Dr Sartaj Ahmad Policy number : 4000721049

Address : Masjid Mahalla Gulshan

Policy Owner : Dr Sartaj Ahmad
E Azim Benachity Durgapur
Dt Burdwan Insured Person : Miss Shama Parveen
Durgapur
713213 Policy issue date: September 18, 2014
West Bengal
Payment Mode : Yearly
Tel No : 09563517362

Plan Details
Basic Plan / Rider Sum Insured(Rs.) Modal Premium(Rs.)

IDBI Federal Lifesurance Savings Insurance 228540 22854

Plan(135N029V01)

This is to certify that the following amounts have been received towards premium for the aforementioned
policy during the period April 1, 2009 to February 4, 2020.

Payment Submission Date Premium(Rs.) Service Tax(Rs.) Cess(Rs.) GST(Rs.) Total(Rs.)

September 19, 2019 22854 0 0.00 514.22 23368.22
February 11, 2019 22854 0 0.00 514.22 23368.22
September 19, 2017 22854 0 0.00 514.22 23368.22
September 19, 2016 22854 399.95 28.56 0.00 23282.51
September 19, 2015 22854 399.95 0.00 0.00 23253.95
September 18, 2014 22854 685.62 20.57 0.00 23560.19
Total Amount Received 140201.31

Total Premium Paid

Section 80C : 140201.31 Section 80D : 0

IDBI Federal Life Insurance Co Ltd.

IRDAI Registration Number: 135 | Corporate Identity Number (CIN) - U66010MH2007PLC167164
Regd Office : 22nd Floor, A Wing, Marathon Futurex, N M Joshi Marg, Lower Parel (East), Mumbai
400 013, Maharashtra, India.
Website: www.idbifederal.com | E-mail: support@idbifederal.com
Toll-free number: 18002090502 (Monday to Saturday; 8 am to 8 pm)

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PREMIUM PAID CERTIFICATE
Financial Year : 2009-2019
February 4, 2020

Note:
1. Income tax benefits would be available as per the prevailing Income tax laws in India. These laws are
subject to change and any such change could have a retrospective effect. This letter should not be
construed as tax, legal or investment opinion from us. For specific suitability, you are requested to
consult your tax advisor.
2. Tax and other levies will be applicable on the premium amount payable on the due date as per prevalent
tax rates,which are subject to change from time to time.
3. Service Type: Life Insurance Service and Insurance Auxiliary Service.
4. Cess includes Swachh Bharat Cess and Krishi Kalyan Cess.

THIS IS A COMPUTER GENERATED STATEMENT AND DOES NOT REQUIRE A SIGNATURE.

Call Our Customer Service Helpline

Toll Free Number: 1800-209-0502

Email us at support@idbifederal.com | Visit us at www.idbifederal.com

IDBI Federal Life Insurance Co Ltd.

IRDAI Registration Number: 135 | Corporate Identity Number (CIN) - U66010MH2007PLC167164
Regd Office : 22nd Floor, A Wing, Marathon Futurex, N M Joshi Marg, Lower Parel (East), Mumbai
400 013, Maharashtra, India.
Website: www.idbifederal.com | E-mail: support@idbifederal.com
Toll-free number: 18002090502 (Monday to Saturday; 8 am to 8 pm)

Page No. : 2