Policy Deposit Receipt

Name of the Life assured : .; Ahamed Meeran Receipt No : 76385491

Policy Owner : .; Ahamed Meeran Date of Receipt : 19-Jun-2018

Address : R1 204, VGN Stafford,

Thirmullaivoyal,
Chennai - 600020.

Contact Details : 919094027786

Client ID : 71249846 Policy No: 18924591

We acknowledge with thanks, receipt of Rs. 62326 via Net banking towards renewal of your policy.

Policy Term: 11 Premium Paying Term : 11 Payment Frequency : Annual

Plan Component Premium Service Tax Applicable Cess Revival Charge Total Premium Paid
(Late Fee)
Kotak Capital Multiplier Plan 61278 1048 0 0 62326

Total 62326

Next Due Date : 19-Jun-2019 *

Payment Mode : Net banking

Cheque No./Transaction ID. :

Bank Name : HDFC Bank

This is a computer generated
receipt and does not require
Mudrank No: EMSHU-2015/2054/CN657/M1 Dated 16-11-2015
manual signature.

Notes:

1. Service Tax and Applicable Cess are levied at the applicable Tax rates in accordance with the prevailing Tax Laws, from time to time
Premium is eligible for deduction under Income Tax act 1961, as per the prevailing tax laws.
2. For cheque payments the receipt is subject to clearance and for electronic mode of payment upon the credit in company’s account.
3. Service Tax Registration Number : AAACO3983BST002
4. In respect of premium received up to 3 pm by the insurer the closing NAV of the business day on which
premium is received shall be applicable.
5. In respect of premium received after 3 pm by the insurer the closing NAV of the next business day shall be applicable.