06-12-2021

Consolidated Receipt Statement

Mr Rajesh Gulhane
Shri Wasudeo Vitthalrao Gulhan
H No 03 Putala Nagar,
Yavatmal Putala Nagar,

Yavatmal - 445001

Dear Mr Rajesh Gulhane,

Greetings from Exide Life Insurance!

This is to certify that the following renewal premium payments have been made towards your Exide Life Insurance Policy
No. 03128410 for the financial year 2019-2020.

Receipt No. Receipt Date Receipt Amount (`)

48260902 03 Jul 2019 12842.60
48464259 20 Jan 2020 12842.60

Please get in touch with us for any further assistance.

We hope to serve you again

Yours sincerely,

Customer Services
Exide Life Insurance Company Limited

This is a system generated letter, hence requires no signature

IMPORTANT
To stay connected and receive important updates on your policy, ensure your mobile number, email id and bank account
details are updated in our records. To update your details you may walk-in to your nearest Exide Life Insurance branch
office or update online through our website exidelife.in

• Premium paid in advance would be held in deposit without interest, the premium will be adjusted to the policy on the due date. • Tax benefits
on insurance premium are as per prevailing income tax laws and are subject to amendments made thereto from time to time. • Goods and
Services Tax (GST) and applicable taxes/ cess will be charged as notified by the Government of India from time to time. • For Unit Linked
Policies, GST or any other applicable taxes / Cess will be deducted through cancellation of units as per prevailing laws and regulations. • If the
payment has been made by cheques, ECS, Standing Instructions, the continuation of cover under this policy and the validity of this receipt is
subject to realization of the payment.

As per Government of India directive, if you are holding single or multiple policies where your aggregate premium payment for the financial year
is Rs. 50,000 or above, please submit PAN card or form 60 / form 61 as applicable. Please ignore if you have already submitted the
documents.

Call : 1800 419 8228 (TOLL FREE); +91 80 4134 5444 Email : care@exidelife.in Visit : exidelife.in

Registered Office: Exide Life Insurance Company Limited, 3rd Floor, JP Techno Park, No.3/1, Millers Road, Bengaluru - 560 001.
IRDAI Registration No. 114 CIN: U66010KA2000PLC028273