ONLINE PAYMENT ACKNOWLEDGEMENT

VIVEKRAJ V
VELAPPA MANDIRAM
A N PURAM
PAZHAVEEDU P ONR VILANJUR TEMPLE
Kerala

Dear VIVEKRAJ V

We acknowledge the receipt of payment towards premium for your policy no. 502-3068116 on 05/07/2021 with following
details:

Transaction ID VAX60090461287 Method Online Payment

Plan Details Dhan Varsha Mode QUARTERLY
Due Date 7/28/2021 Amount Rs. 4524.76

Note:
1. Income tax benefits are as per Income Tax Act, 1961 and are subject to conditions mentioned therein and
amendments made thereto from time to time.
2. In case of premium/s paid towards reinstatement of a policy, the cover shall commence from the date of acceptance of
risk by the Company.
3. For premiums received till 3pm for Unit Linked Policies, NAV of the same day would be applicable and for payments
received after 3 p.m. NAV applicable shall be of next working day. In case payment is made on a non-working day, then
NAV of the next working day would be applicable.
4. In case of premium received in advance, then premium would be applied to the policy only on the due date of the
policy.

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

Insurance is the subject matter of the solicitation.

Bharti AXA Life Insurance Co. Ltd.

Registration No: 130.
Registered Office:
Unit No. 1904, 19th Floor, Parinee Crescenzo, 'G' Block, Bandra Kurla Complex
BKC Road, Behind MCA Ground, Bandra East, Mumbai-400051