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26/6/2020 Premium Receipt

Premium Receipt

Life Assured: D Vamsi Krishna Date: 26/6/2020

Policy Holder Name: D Vamsi Krishna Policy No: 00769115

Address: 304, Sri Hari Nilayam,


Padmavathipuram,
Tirupathi.
517503
Andhra Pradesh
IND

Date Of Commencement Frequency Of Payment Premium Due Date Premium Paid


26/6/2019 Yearly 26/6/2020 30000.00

Yours Sincerely,

Star Union Dai-ichi Life Insurance Co. 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.
Category : Life Insurance. Service tax registration no. AALCS3949OST001

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

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