Premium Receipt

Receipt No.: 345932875OCT2101 | Receipt Date: 10-OCT-2021

Personal Details
Policy Number: 345932875 Email ID: deepakmca.it@gmail.com
Policyholder Name: Mr. Deepak Kumar PAN Number: DCNPK0878Q
Address: VILLAGE MUSEPUR KHAIRA KHAIRA Customer GSTIN: Not Available
POST ARAI PS DAUDNAGAR AURANGABAD Current Residential State: Bihar
DAUDNAGAR- 824143
Bihar
Mobile Number: 9711496554
Policy Details
Plan Name: Max Life Monthly Income Advantage Plan Policy Commencement Date: 08-OCT-2020
Life Insured: Mr. Deepak Kumar Policy Term: 22 Years Premium Payment Term: 12 Years
Premium Payment Frequency: Annual Date of Maturity: 08-OCT-2042 Modal Premium (incl. GST): ` 51,951.98
Late Payment Fee (incl GST): ` 0.00 Premium Received (incl. GST): ` 51,951.98
GST Details Connect for more details
Coverage Taxable SGST/UTGST CGST IGST Name
Type Value (`) Rate Amount (`) Rate Amount (`) Rate Amount (`) Customer Services
Base 6,250.11 NA 0.00 NA 0.00 18% 1,125.02
Rider 700.00 NA 0.00 NA 0.00 18% 126.00
Late Payment 0.00 NA 0.00 NA 0.00 18% 0.00 Contact Number
Total GST Value: ` 1,251.02 18601205577
GSTIN: 07AACCM3201E1Z5 GST Regd. State: Delhi SAC CODE: 997132

Mudrank: Paid by e-Stamps Certificate no. 321/Issue Date: 13/09/2021/ Vide Treasury (E-CHALLAN) GRN NO.81686598

Minimum Guaranteed Death

Benefit (of base plan and term
rider (if any))
08-OCT-2021 to
` 7,31,436.00 ` 51,951.98 07-OCT-2022 08-OCT-2022
*Important Note:
1.For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk commencement starts
after acceptance of risk by us.
2.Amount received would be adjusted against the due premium as per terms and conditions of the policy.
3.Premiums may be eligible for tax benefits under section 80C/80CCC/80D/37(1) of the income Tax Act 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change
due to changes in legislation or government notification.
4.GST shall comprise CGST, SGST / UTGST or IGST (whichever is applicable) including cesses and levies, if any. All applicable taxes, cesses and levies, as per prevailing laws, shall be borne by you. For
GST purposes, this premium receipt is Tax invoice. Assessable Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%, Single Premium Annuity is 10%, Term and Health is 100%.

Authorised Signatory
PRM21V5.9 10072021 PRODUCT UIN: 104N091V05
E.&O.E 2021-10-10.03.35.14.280981