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Date : 01/08/2013 Mr THIRUPPATHIRAJAN R 116/1 NEW NO 244 MANGAPURAM KEEL PAKKA SOUTH STREET SRIVILLIPUTTUR SRIVILLIPUTTUR Tamilnadu Pincode

: 626125 Contact #: 8056154789 Transaction Date : Transaction ID : 01-08-2013 4336280

Renewal Premium Receipt


Dear Customer, We confirm receipt of Rs. 10,000.00/- (Rupees TEN THOUSAND only) for your Renewal premium paid on our website www.reliancelife.com towards:

Policy No

Plan Name

Frequency

Total premium paid Rs. 10,000.00/-

12370083

Automatic Investment Plan- Reg

Yearly

We thank you for choosing Reliance Life Insurance as your Preferred Life Insurer and we look forward to a long lasting relationship.

Terms and Conditions: 1.Payments to Reliance Life Insurance Company Limited are eligible for tax benefit u/s 80C/80CCC(1)/80D as applicable. 2.This is system generated receipt, hence does not require signature.

Regd. Office: H Block, 1st floor, Dhirubhai Ambani Knowledge City, Navi Mumbai, Maharashtra - 400710, India. 24 Hour Call Centre:30338181 or 1800-3000-8181 | Email: rlife.customerservice@relianceada.com Website:www.reliancelife.com

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