06/09/2013

Dear MR MONAL BHOYAR,

Thank you for placing your trust in AEGON Religare Life Insurance Company Limited.
This is an acknowledgement for your online transaction.

Transaction Date 06/09/2013

Policyholder Name MR MONAL BHOYAR

Policy No. 512083203678

Premium Amount `(In figures) 11787

Transaction No. 81784861

Authorised Signatory

Rajiv Shah
Director - Operations

Note:
1. Initial deposit amount will be appropriated towards first premium on acceptance of
the proposal by AEGON Religare Life insurance Company Limited. If not accepted, it
will be refunded without any interest.
2. In case we receive excess premium, the excess amount will be maintained in your policy
account and will be adjusted towards your future premium payment/dues.
3. In case of ULIP, if your payment has been received in advance, it will be adjusted towards
unit allocation on the due date. On receipt of the premium, units shall be allocated as per
IRDA guidelines. The investment risk is borne by the policyholder.
4. Insurance is the subject matter of the solicitation

For more information:

Call us on our toll free 1800 209 9090 between 8:30 am to 8:30 pm, 7 days a week.
Email us at customer.care@aegonreligare.com. Visit our website www.aegonreligare.com.