Bajaj Allianz Life Insurance Co. Ltd.

Certificate For Premium Paid

(01-Apr-2013 to 31-Mar-2014)
Date: 05/03/2014
This is to certify that the premium under the following policies taken by the policy holder MR MUNEENDRA MEESALA has been received by
Bajaj Allianz Life Insurance Company Limited during the financial year 2013-2014.
Policy No Product Premium
Due Date
Premium
Adjustment
Date
Premium
Type
Sum
Assured
Premium
Amount
Received
Life
Insurance
Premium(1)
Health Care
Premium(2)
Service Tax
Including
Edu.cess
0249987400
INVESTGAI
N -
PLATINUM
03/02/14 03/03/14
Renewal
Premium
250000 28895 28895 0 446.43
Total : 28895.0 28895.0 0.0 446.43
Note:
Receipts issued subject to realization of cheques.
(1) Life Insurance Premium is eligible for tax rebate/deduction under Section 80C.
(2) HCB/C1/Post Hospitalization/Surgical Benefit Rider Premium is eligible for tax rebate/deduction under Section 80D..
* Single Premium Policies with cover less than 5 times the premium paid will not be eligible for tax deduction under section 80C. This
certificate is issued for the purpose of claiming deductions, rebates as per the provisions of Income Tax Act, 1961.
For your actual eligibility please refer to provisions of IT Act 1961 as modified and consult your tax consultant.
Note: This is a computer-generated letter and does not required a signature.