ice and does not

require any
signature.
Registered Office:
ICICI Prulife
Towers,1089,
Appasaheb
Marathe Marg,Prabh
adevi,Mumbai-400
025
Receipt Number
 Effective Aug '09, c
ustomers on monthl
y premium paying fr
equency will receive
their printed receipts
on a quarterly basis.
The monthly
receipts will be
emailed to
the registered email
id and will also be
available on
www.iciciprulife.com
Going Green -
Committed to
saving paper for a
greener future:
*Interest on late
payment will be
charged@ p.a. co
mpounded half-
yearly
05/04/2012
Mr. Firoz Jigar
WadhwaniMr. Firoz
Jigar Wadhwani
A-Win G,
Disouza Nagar
SakiNinty Feet
RoadNaka,Mumba
iMaharashtra
9833420569Tel.No. :-
105L017V01
0.00
40007204/01/2012
24000.00
05254687LifeTime
Super Pension
Your next due
date is :Balance
in Deposit 0.00
sandy5herga@gmail.c
om
In Force
B-2 Flat No.313 Maniar
AptDindayal
Nagar Vasai
(W)ThaneMaharashtra
401202
400072Maharashtr
a
long term with
flexible investment
option. Avail of
potentially higher
return over For more
information, SMS
'LIFE' to
57827.Presenting
LifeTime Maxima
from ICICI
Prudential.
Version:1.3_(24/08/10)

81466171
Life Assured:Proposer:
0 6 / 1 0 / 2 0
1 1 0 5 / 0 4
/ 2 0 1 2 L i f
e T i m e S u
p e r P e n s
i o n 2 4 0 0 0
. 0 0
RENEWAL
PREMIUM
RECEIPT
05 Nov 2010Tax
benefits would be
available as follows:
Life Insurance
Policy u/s
80c,Pension Policy
u/s 80CCC, Health
Riders (if any) u/s
80D. Tax
benefitswould be as
per
prevailing Income
Tax laws. Service
Tax and
EducationCess
extra as
applicable. Servce
Tax Details:
Category of Service:
LifeInsurance
Service.
Registration
NO: MIV/ST/IAS-
LIFE/1;PAN BASED
STC NO:AAACI735
1PST001
CONSOLIDATED
REVENUE STAMP
DUTY PAID :
NOTIFICATION NO -
MUDRANK
Mudrank No.:
0715/21451/CR-
322/M1-23/08/2010