Date: 18-Jan-2024

Receipt No.: 538991008JUN2301

Life Insurance Premium Receipt

Duration For Which the Premium is Received: 01-APR-2023 to 31-MAR-2024
Personal Details
Policy Number: 324693142 Current residential state: West Bengal
Policyholder Name: Mr. Anindya Sundar Sinha Mobile No. 9163640262
Commuinication Address: 88/4/1 Landline no. Please inform us for regular updates
PATHAK PARA ROAD, Life Insured Name: Mr. Anindya Sundar Sinha
PARNASREE PALLY PAN Number: CTIPS5640F
Kolkata - 700060
Email ID: SUNDAR.SINHAANINDYA@GMAIL.COM

Policy Details
Plan Name: Max Life Online Term Plan Plus - 104N082V03
Policy Term 47 Years Premium Payment Frequency Monthly
Date of Commencement 26-JUN-2019 Date of Maturity 26-JUN-2066
Last Premium Due Date 26-JUN-2023 Next Due Date 26-JUL-2024
Reinstatement Interest (incl. GST) 0.00 Model Premium (incl. GST) 17721.69
Total Premium Received (incl. GST)* 17721.69 Total Sum Assured of base plan and term 50,00,000.00
rider (if any)
Agent's Name Policybazaar Ins Web Aggr Agent's Contact No.
8826272750
Head Office

GST Details
Coverage Type SAC Code IGST (INR) GSTIN 06AACCM3201E1Z7
Base 997132 2722.69 GST Regd. State Haryana
Rider 997132 Affix
Reinstatement Interest 0.00 Re1
revenue
Total 2722.69 stamp

Important Note:
*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. *Amount received would be adjusted against the due premium as per terms and conditions of the policy. *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. *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

PRM20

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