28-08-2023

Mr Aryabhatt Thakur
570/100 Kasimpur
Pakri Alambagh
Lucknow 226005
Lucknow, Uttar Pradesh

Premium Paid Certificate for the Financial Year 2023-2024

Dear Aryabhatt Thakur,

Greetings from HDFC Life!

This is to certify that the following premium payments have been made towards your HDFC Life Policy(s) for the financial
year 2023-2024.

Plan Name Policy Payer Name Frequency Sum Premium Top Up Tax
UIN No Number Assured Paid (`) Eligibility
(`) (`) (`)
HDFC Life Sampoorna
Mr Aryabhatt
Jeevan 04694497 01 301654 62899.6 0 60191
Thakur
101N158V01
HDFC Life Sampoorna
Mr Aryabhatt
Jeevan 04694590 01 302030 62899.6 0 60191
Thakur
101N158V01
Total Premium Paid: ` 125,799.20
Details of the amount eligible for benefits under Income Tax Act are as below
Amount Eligible for Tax Exemption u/s 80C/80CCC : ` 120,382.00
Amount Eligible for Tax Exemption u/s 80D : ` 0.00

1.Goods and Services Tax (GST) and applicable taxes/ cess will be charged as notified by the Government of India from
time to time.

2.For Unit Linked Policies, GST or any other applicable taxes/ cess will be deducted through cancellation of units as per
prevailing laws and regulations.

Please get in touch with us for any further assistance.

We hope to serve you again.

Yours sincerely,

Customer Services
HDFC Life
This is a system generated letter, hence requires no signature

"Please note, that with effect from 15th Oct 2022, Exide Life Insurance Company Limited has merged into HDFC Life
Insurance Company Limited and the merged entity is known as HDFC Life Insurance Company Limited ("HDFC Life")"

Call : 1860-267-9999 (Local Charges Apply); 022-68446530 (Std Charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.