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[ ReLIANCe Telarc} Mee azote Pet ents family. 7 1436614 : MR SUKETU PRAVINGHAT BHATT + 320 PRERNA PARK fees Policy / Application No. Address NR SAMTA, VADODARA 14364614 Gujarat 390021 Application Inward Date: [customer Contact No. 5 9377151351/9377151351 (07 Apr 2035 /Advisor Code : 20189439 [Advisor Name : SUKETU P BHATT [Advisor Contact No. +: 9925430879/9925830379 [SM Code £07529 ‘Dear MR. SUKETU PRAVINSHAI BHATT, Subject: We have recieved your premium We hereby certify the receipt of the premium payment towards your Ife insurance policy with us, through INTERNET ‘payment. We congratulate you for ensuring your family’s continued security and peace of mind. Received Amount : © 4570. ‘Amount in words: Rupees Four Thousand Five Hundred Seventy Only. Paid By: Cheque/DD/Credit Card No.: 9918709 Dete: O7 Apr 2015 Drawn on:RNEW Total : 7/4570 Terms & Conditions 1. On policies issued on or after 1st April, 2012, Income tax benefit under section 80C shall apply only to the extent of ten Percent of minimum sum assured during the entire term of the policy. Acditional conditions apply. 2. On policies issued on or after 1st April, 2012, income tax benefit under section 10(10D) shall be available if premium payable for any of the years during the term of the potcy do not exceeds ten per Cent of minimum sum assured during {the entire term of the policy. Additional concltions app. 3. However, in the event of death, sum received under any Life Insurance Policy Continue to be exernpt. Additional conditions apply. 4. Kindly consult 2 tex expert to understand income tax applicable on various financial aspects 5. In pursuant to the proposed Finance Bill 2012 and subsequent netifeation ro.3/2012 Service Tax (Amerdment) Rules, 2012 issued by Government of India, Service tax rules stand changed effective ist April 12. Additional conditions apply. kindly consult 2 tax expert to understand sevice tax applicable on various financial / insurance services. Sarvice Tax is suinject to amendments & Interpreptations 6. This s system generated receipt, hence does not require signature Reliance Lie Insurance Company Limited (Re. No 322) gaara Off: H Rl, et lor, Dhue! Arba Keone ty, Nai Mab, Manarra 40072, tin Ci CeO Gi Lal eat 6 Tl Pes 1000 300 S161 Erol atomerserncabrelanceada om Webs: wn ebancl com

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