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Bajaj Allianz Life Insurance Company Limited

GE Plaza, Ground Floor


Airport Road
Yerwada, Pune-411006
0548336420
RENEWAL PREMIUM RECEIPT
Policy Number : 0294648294
Policy Holder Name : MR JAYANTA MAITY
Address :
C/O -SOIBAL CHATTERJEE HARHPO+PS-~GHATAL
VILL-KUSHPATA
WEST MIDNAPORE
WEST BENGAL
721212
Receipt No. 0548336420 Payment Date 26-FEB-2014
Received with thanks from MR JAYANTA MAITY
Gross Amount (in Rs.) 25000
Amount in Rs.(in Words) Twenty Five Thousand Only
Mode of payment Online Net Banking(Trans ID-MHDF3267601588)
Premium Amount Rs.
25000
Product Name LIFE_ASSURE_PLAN_MORE
Name of Life Assured MR JAYANTA MAITY
Date Of Commencement
11/02/2013
Deposit B/F N/A Service Tax 0.0
Date Of Maturity 11/02/2023 Deposit C/F N/A
Education
Cess
0.0
Mode Annual X Change B/F 0.0
Higher Edu.
Cess
0.0
Late Fees
STM CODE 1100075947 I.C Code 1002298772
NEXT PREMIUM DUE DATE 10-FEB-2015
MUDRANK No. 1500/299 Dated 18/06/2013
Utilization shall be done as per applicable IRDA Guideliness in this regards
Advance premium collected shall be utilized on premium due date.Amount held in deposit will not attract any interest.For eligibility under applicable sections of Income Tax Act 1961. Please refer
relavant provisions and rules.
Visit our website:
www.bajajallianzlife.co.in
BSNL: 1800 233 5858, Tata: 1800 209 7272
Email Us:
renewalvertical@bajajallianzlife.co.in or life@bajajallianzlife.co.in
Bharti: 1800 103 7272, Reliance: 1800 3000 7272
Customer Copy