You are on page 1of 1

24/10/2019 Premium Receipt

Premium Receipt

Life Assured: Shalini Mathur Date: 24/10/2019

Policy Holder Name: Shalini Mathur Policy No: 09786542

Address: 38/54, Kiran Path, Mansarovar,


Jaipur, Rajasthan IN 302020

Date Of Commencement Frequency Of Payment Premium Due Date Premium Paid


17/11/2017 Yearly 24/10/2014 50000.00

Yours Sincerely,

Star Union Dai-ichi Life Insurance C o. Ltd.

Note:
1. Amount received by cheque is subject to realisation of cheque.
2. This is a computer generated receipt and hence do not require signature.
3. Eligible for Income Tax rebates as per rules.
4. Service Tax applicable as per prevailing service tax law.
C ategory : Life Insurance. Service tax registration no. AALC S3949OST001

Regd. Office: Star House 3rd Floor, (West Wing), C -5, 'G' Block, Bandra-Kurla C omplex, Bandra
(East), Mumbai-400051

http://www.sudlife.in/en-US/Pages/PremiumPopUpView.aspx?Productid=00769118&PDD=22/4/2014 1/1

You might also like