Premium Paid Certificate for the Year 2011/12

Consolidated Premium Receipt

Name Address : MR SATHISH KOMATI REDDY : S/O.KNARSIREDDY, HNO-18-105 VASAVINAGER NAKEREKAL, NAKEREKAL-MD NALGONDA-DT Andhra Pradesh 508211 Contact No. : 9949559545 Page No. : Mode : 1 Instalment Premium

Dear Customer, We hereby certify the receipt of the premium payment as mentioned below towards your life insurance policy with Reliance Life Insurance Company. Policy Holder Name Policy No. Plan Name Plan Name / Rider
Reliance Cash Flow Plan Accident Benefit Rider

: : :

MR SATHISH KOMATI REDDY 19487402 Reliance Cash Flow Plan

Sum Assured (`)

232000 232000

Premium* (`)
20036.85 255.89

Covered Under
80 C 80 C

Summary of total premium paid to avail Income Tax benefit : Sec 80C Sec 80D Total 20292.74 0.00 20292.74

Terms and Conditions

1 2 3

*Inclusive of service tax. Tax benefit under section 80C / 80D of the Income Tax Act, 1961, are subject to certain conditions Please note that all benefits payable under policy, are subject to tax laws and other financial enactments as they may exist from time to time. You are recommended to consult your tax advisor. This is system generated receipt, hence does not require signature.

Thank you for giving us the opportunity to serve you.

Reliance Life Insurance Company Limited

(Reg. No. 121)

Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai, Maharashtra 400 710, India. Customer Care Number: 1800 300 08181 & 3033 8181 Email: rlife.customerservice@reliancelifeada.com Website: www.reliancelife.com