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    Premium Payment Acknowledgement-1

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    Om Prakash
    Mr. Shivanshu Dubey has paid his monthly premium of Rs. 5,000 for his Bajaj Allianz Life Magnum Fortune Plus policy through UPI. The payment was received on July 13, 2023 and acknowledges a sum assured of Rs. 600,000 with a policy term of 25 years and premium payment term of 5 years under policy number 0562607404.

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    Premium Payment Acknowledgement-1

    Uploaded by

    Om Prakash
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    Mr. Shivanshu Dubey has paid his monthly premium of Rs. 5,000 for his Bajaj Allianz Life Magnum Fortune Plus policy through UPI. The payment was received on July 13, 2023 and acknowledges a sum assured of Rs. 600,000 with a policy term of 25 years and premium payment term of 5 years under policy number 0562607404.

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    Mr. Shivanshu Dubey has paid his monthly premium of Rs. 5,000 for his Bajaj Allianz Life Magnum Fortune Plus policy through UPI. The payment was received on July 13, 2023 and acknowledges a sum assured of Rs. 600,000 with a policy term of 25 years and premium payment term of 5 years under policy number 0562607404.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    12 views1 page

    Premium Payment Acknowledgement-1

    Uploaded by

    Om Prakash
    Mr. Shivanshu Dubey has paid his monthly premium of Rs. 5,000 for his Bajaj Allianz Life Magnum Fortune Plus policy through UPI. The payment was received on July 13, 2023 and acknowledges a sum assured of Rs. 600,000 with a policy term of 25 years and premium payment term of 5 years under policy number 0562607404.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    of 1

    PREMIUM PAYMENT ACKNOWLEDGEMENT

    Acknowledgement No.:1137162430 Date:13/07/2023

    Personal Details
    Policy No. 0562607404

    Policy Holders Name MR SHIVANSHU DUBEY .

    E-mail SHIVANSHU_5213@REDIFFMAIL.COM Contact No. 7355234745

    Policy Details
    Plan Name BAJAJ ALLIANZ LIFE MAGNUM FORTUNE PLUS--

    Life Insured MR SHIVANSHU DUBEY .

    Sum Assured 600,000 Policy Commencement Date 09/06/2023

    Policy Term 25 Years Premium Payment Term 5 Years

    Premium Due Date 09/07/2023 Premium Payment Frequency Monthly

    Premium Received 5,000 Payment Mode UPI

    Amount in Words Rupees Five Thousand Only

    Agent Code 1003148048 Agent Name SHIVANI SINGH

    This is system generated acknowledgement hence requires no signature.

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