Mcicr cS Ff Ca sea aU ele 08-00-2022 ‘Santosh Kumar K 1945 BALAI NAGAR PLOT 24 BEERAMGUDA BEERAMGUDA BESIDE ‘SANGAREDDY TELANGANA-502032 Mobile No: 8099404753 iProtect Smart RP 7112971868 Premium Balance Premium Policy Number Installment | Payment Mode | Due (in?) Frequency ass 728 { MONTHLY Direct Debit Payment rae een Baht van @9% Tax a a lace F=(a)+(B)+(c)+ | Pener™ {D)+(E) 288 Policy ; Product/ Rider Name ICICI Pre iProtect, 5481 SEC 80C 71128718) N8019041 [Smart ‘Accidental death benefit, SEC 80C Total Premium Paid {GSTIN numbor of company for Maharashira : 27AAACI7361P123 Place of Supply : Telangana HSN No, - 997132 ‘Address of supplier: ICICI Prulife Towers, 1089, Anpssaheb Marathe Marg, Prabhadevi, Maharashtra, Mumbai - 400025 "Tax benefit on premium paid towards Life insurance policy wis 80C, pension policy ws SOCCC{1), health pole! health related riders it any) ws ‘30D as per the conditions prescribed inthe relevant sections of The Income Tax Act, 1961. Tax laws are subject to amendments made there from time to time. "Premium amount is inclusive of reinstatement charges paid (f any) > Taxes and Cess (if any is inclusive of tax on reinstatement chargos (f any. Ploase note: * Premium paid in advance will be applied to the policy on premium due date + Premium due smountis considered from last unpsid premium, «+ Ifthe payment has been made other than in cash, this premium paid certificate is conditional upon credit in company’s account post clearance ofthe instrumentiacilty including electronic mode. * For any confirmation / impact analysis customer is advised to refer the matter to his Tax consultant. + CONSOLIDATED REVENUE STAMP DUTY PAID: NOTIFICATION NO - MUDRANK CSD/149/2021/4410-29/10/2021, Registered Address: 1089, npasaheb Marathe Marg, Prebhadev, Mums! 400028. Reg No. 105. CIN No..L8S0TOMH2000PL.C127837. Call us on 1-860-286.7768 {0am Tom, Monday to Saturday, excopt national holiday). Oversoat customers con eal us on +31 2 61930777. You can ema us at Heine @iekipalecom ‘or visi us at wav ileprulfe.com, UIN No, 108N151V05,t08NT51Vo4 COMPDOC'Ju/2022/07/0808. ‘Tiss system generated document, doesnt require signaturePRUDENTIAL3 ~, @icici 3! Ca sea aU ele «+ Goods and Service Tax and cess [if any) will be charged as per applicable rates and prevailing tax laws. + Taxis not payable undor reverse charge. + We hereby declare shat though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms ofthe provisions ofthe said sub-rule fon 1-860-266.7766 (HO. 7om, Monday to Saturday, excopt national holiday). Oversoat customers can eal us on +31 2 61930777. You can emails at Heline@iekiprulecom ‘or visit us at wav ileprulfe.cam, UIN No, 108N151V05,108NT51Vo4 COMPDOC!Ju/2022/07/0808. ‘Tiss system generated document, doesnt require signature Registered Address: 1089, Anpasaheb Merathe Marg, Prebhadevl, Mumbs! 400025. Rep No. 105. CIN No..LBB0TOMH2000PL.C127897. Ci