Renewal Premium Receipt

16470501

Client ID :54668282 Date: 29/06/2022

Mr. Inder Raj Gupta Insured Name: Mrs.Krishna Gupta
Ward no1 sheesh mahal
Po/ Teh Rampur
Others
Others 172001
Himachal Pradesh
Mobile No :9418067657

Dear Mr. Inder Raj Gupta,

Greetings from PNB MetLife Insurance!
We acknowledge receipt of your premium for policy number 22253699.
PREMIUM PERIOD: 27/06/2022 to 26/06/2023
Base Premium GST Reinstatement Excess Premium
Policy Number Product Name/Riders
Fees Balance (Rs.)
22253699 PNB MetLife Endowment Savings+ 48,000.11 1,080.00 0.00 0.00

Total Premium Received 49080.11

Premium Frequency Policy Term Premium Paying Term

Annual 10 7

Date of Maturity Loan Amount Loan Interest Loan interest Due From Date
27/06/2027 - - -
State SAC Place of IGST CGST SGST
Customer GSTIN No Taxable Value Invoice Value
Code Code Supply @18% @9% @ 9%
HP 997132 HP 6,000.01 49,080.11 0.00 540.00 540.00

NEXT PREMIUM DUE DATE :27/06/2023

Revenue stamp of Rs. 1.00 assigned towards Premium Receipts and paid to Maharashtra Govt. through Certificate CSD/369/2022/2428 dated Jun 06, 2022.

This is a computer generated letter/statement and does not require a signature.

In case of any queries please visit your nearest PNB MetLife Service centre. Our address details are available on website www.pnbmetlife.com. You can also
contact us at various customer touch points given on overleaf.

Please Note :
Please consult your tax advisor for applicable tax benefits.
Only Policy Owner of the Policy can avail Tax exemption of Premium paid either fully or partly , under Sec. 80C of Income Tax Act 1961 & Premium paid towards Critical Illness Rider,
Waiver of Premium Rider and Disability Benefit Rider are eligible for deduction under 80D subject to the conditions as contained therein.
Premium shall be adjusted on the due date even if it has been received in advance, Premium payment received is subject to realization.
Any excess payment received would be refunded without interest.
GST and relevant cess are charged at rates applicable from time to time and are to be borne by the policy holder.
For applicable customers who have not furnished the form 60\61 along with renewal premium. PNB MetLife presumes that the reason, furnished at the time of applying for the policy, for
the customer to not have a PAN continues to remain the same.
All amount is in Indian Rupees (`) unless otherwise specified.

The marks “PNB” and “MetLife” are the registered trademarks of Punjab National Bank and Metropolitan Life Insurance Company, respectively. PNB MetLife India Insurance
Company Limited is a licensed user of these marks”.

Beware of Spurious phone calls and fictitious/ fraudulent offers. (1) IRDA clarifies to the public that the IRDAI and its officials are not involved in
activities like the sale of any kind of insurance or financial products, nor do they invest premiums. (2)The IRDAI does not announce any bonus and
members of the public receiving such phone calls are requested to lodge a police complaint, along with the call details and the phone number.

PNB MetLife GSTIN No.: 02AACCM6448H1ZM

PNB MetLife India Insurance Company Limited,
IRDAI Registration number 117, CI no. U66010KA2001PLC02883 UIN No. 117N099V01
3rd Floor ,Sarab Complex, A-60, Khasra Nu 70 - 79,Morning sites,Sanjouli, Shimla- 171006.
Registered Office: Unit No.701,702&703, 7th Floor, West Wing, Raheja Towers, 26/27 M G Road, Bangalore -560001, Karnataka.
Write to us: 101, 1st Floor, Techniplex-1, Techniplex Complex, Off Veer Savarkar Flyover, Goregaon (West), Mumbai-400062, Maharashtra. Phone:
+91-22-41790000, Fax: +91-22-41790203, LD/2017-18/EC 114 Website: www.pnbmetlife.com