Date/ fnuakd : 07/01/2024

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NP1038120124000764794 \ 5266 DDLDDLDLLDDLLDDDLLDDLL

Client ID : 55024352
Mr Amandeep Singh
S/o Sukhwinder Singh
Lakhe Ke Uttar Mandi Ladhuka
Fazilka - 152123 Punjab
Mobile/Landline : 9780411360
PREMIUM PAID CERTIFICATE FOR THE YEAR 2023-24
Date of Issue: 07/01/2024
Thank you for your patronage and continued support as your preferred life insurer.
This is to certify that the following premium has been paid under the following life insurance policy held by Mr Amandeep
Singh
The details of your policy is mentioned below :
Policy No 00764794

PLIL/Operation/POS_UF/Communication Letter/073_01122019 Ver 2.0

Date of Commencement 29/09/2021
Plan Name Pramerica Life Rakshak Gold
Policy Term 15
Premium Paying Term 10
Modal Premium 3,062.19
Frequency of Payment Monthly

Premium Amount Received Received Date

3,131.09 04/01/2024
3,131.09 27/10/2023
3,199.99 03/10/2023
3,199.99 03/10/2023
3,199.99 03/10/2023
3,199.99 22/08/2023
3,199.99 22/08/2023
3,199.99 20/07/2023
3,199.99 20/07/2023
3,199.99 03/07/2023

Total amount paid towards premium for the policy number 00764794 is INR 31,862.10 for the financial year 2023-24
For further assistance, please feel free to contact your Pramerica Life Insurance Sales person. You may also call us on our
Customer Service Helpline number 1860-500-7070 (Local charges apply) or Dial- 011- 4818 7070 or email us at
contactus@pramericalife.in
Details of Your Advisor/Broker/Corporate Agent/chek lykgdkj@czksdj@dkiksZjsV ,tsaV dk fooj.k :
Your Agent: M/S CENTRALIZED ... AGENT, Code - PLIL70006885, Phone No -
Your Branch Contact Details :PLIL - HO, Phone No.- 18605007070, Branch Address : 4TH FLOOR, BULIDING
9, TOWER B, CYBER CITY, DLF CITY PHASE-3,, , , Gurgaon, 122002, Haryana, GSTIN Number -
06AACCD6557A1ZZ

As per the Central Board of Direct Taxes directives, it is mandatory to link PAN with Aadhaar, else the consequences of not furnishing, intimating or quoting of PAN
shall be applicable as per the various provisions of the Income Tax Act.

This is a computer generated statement and does not require any signature(s)/;g flLVe }kjk cuk;k x;k i= gS] vr% bl ij gLrk{kj djus dh vko’;drk ugha gSA
Pramerica Life Insurance Limited
Registered Office & Communication Address: 4th Floor, Building No. 9, Tower-B, Cyber City, DLF City Phase III, Gurgaon 122002, Haryana.
CIN: U66000HR2007PLC052028 Tel.: 0124 - 4697000, Fax: 0124 - 4697100/ 7200, E-mail: contactus@pramericalife.in
Website: www.pramericalife.in I Customer Service Helpline : 1860 500 7070 (Local charges apply) or Dial- 011- 4818 7070 I IRDAI Registration Number: 140