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Initial Premium Acknowledgement

Dear Wilton Kumar

Thank you for choosing PNB MetLife as your life insurance partner.This is to acknowledge the receipt of initial premium through online
payment as per the details mentioned below.

Application Details

Application Number: 521721478 Product Name: PNB Metlife

Proposed Owner: Wilton Kumar Proposed Insured: Wilton

Payment Transaction Details

Acknowledgement Number: YAX61845801576 Transaction Date and Time: 17-04-2023 18:28:31


Five Thousand Two Hundred
Transaction Amount: 5225.00 Amount in words: Twenty Five Rupees

Mode of Payment: Credit card

In case of any further assistance, please feel free to contact us at 1-800-425-6969 (from all landline and mobile) or email us at
indiaservice@pnbmetlife.co.in

Yours Sincerely,
PNB MetLife India Insurance Co. Ltd.
This is a computer generated letter/statement and does not require a signature

Please Note:

• Validity of the payment is subject to realization.

• Acceptance of risk is subject to the underwriting guidelines of the Company.

• Final premium receipt will be sent along with the policy document.

• Neither the Company nor any of its Advisor/ Financial Planning Consultants are authorised to offer any tax related advice. The tax benefits
under various sections shall be available as per Income Tax Act, 1961, and are subject to any amendments made thereto from time to time.
Please consult your tax consultant for more details.

Call us Toll-free at 1-800-425-6969, Website: www.pnbmetlife.com, Email: indiaservice@pnbmetlife.co.in. or write to us 1st Floor, Techniplex
-1, Techniplex Complex, Off Veer Savarkar Flyover, Goregaon (West), Mumbai - 400062. Phone: +91-22-41790000, Fax: +91-22-41790203

PNB MetLife India Insurance Company Limited, IRDA of India Registration number 117.
CI No. U66010KA2001PLC028883. Registered office: Unit No. 701, 702 & 703, 7th Floor, West Wing, Raheja Towers,
26/27 M G Road, Bangalore-560001.

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