Life - Insureance For Adi

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Premium Collection Receipt-Duplicate

Renewal Premium Receipt


Name

: MR ADINARAYANA GOLI

Address

: H NO 13-123/2

Transaction Date:
15-Oct-2015

SRI SRI NAGAR


UPPAL
HYDERABAD
Telangana
500039

Customer Contact No.

Transaction ID:

: 7702600773

7986412C

Dear Customer,
We confirm receipt of ` 50000.00 (Fifty Thousand Rupees Only) for your Renewal Premium paid on our website
www.reliancelife.com towards:

Policy No.

Plan Name

12976281

Automatic Investment Plan- Reg

Frequency

Yearly

Installment Premium

50000.00

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.

Reliance Life Insurance Company Limited

(Reg. No. 121)

Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai, Maharashtra 400 710,

India. Customer Care Number:1800 - 300 08181 & 303 38181, Email: rlife.customerservice@relianceada.com,
Website: www.reliancelife.com

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