PREMIUM DEPOSIT ACKNOWLEDGEMENT

Date : 29-11-2023

Dear MR DESAI SOHIL MOHAMADRAFIK,

Thank you for the First Premium deposit of Rs. 20905 for the application No:6140010009 .

Receipt No. Name Premium Mode Product Name

Bajaj Allianz Life

MR DESAI SOHIL
1179287960 UPI Smart Protection
MOHAMADRAFIK
Goal

For any assistance

Call our Toll Free Number: 18002097272 Email us on: customercare@bajajallianz.co.in

Assuring you the best of our services, always!

Your Life Goals enabler,

Bajaj Allianz Life

Bajaj Allianz Life Insurance Co. Ltd.,Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg
No.: 116, Visit : www.bajajallianzlife.com, CIN : U66010PN2001PLC015959, Mail us : customercare@bajajallianz.co.in, Call on : Toll free
no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is provided on the basis of license given by
Bajaj Finserv Ltd. to use its "Bajaj" Logo and Allianz SE to use its "Allianz" logo.