img va gg gu Am All the proofs have to be uploaded using the be accepted. Please ensure to consolidate all the images of your investm« ‘scan image option using the link "Upload IPSF Proof Images". No hard copy proofs will ‘ent proofs; create a ZIP file & upload. {NOKIA SOLUTIONS AND NETWORKS INDIA PRIVATE LIMITED. [WSF 1D ; 007 z3000000000007253 ‘nvestment Proofs Submision eri fr he Vear 20202021 [Employee 1D* [s1475220 [cender* IM [pate of soning [1511212014 Name [rar Rohiesh Nao Chien Going to Schon f PAN APEPRIGIAK. [No.of Chikven Going t Hoste, 0 [Regine Tape [Ot Regime T Section A» Reni Pad for aiming HRA exemption (Only Rent Recipes wil be considered) From Date ‘To Date Adress eaaider | RePaljPer [Proper ‘onnwa020 sr2021 {2 Shires Inraparam 23000.00 776000. 1 ‘Ghrad PIN- 201014,GHAZIABAD,UTTARP IRADESH ‘se Per Lav Desaration [8 ‘Chapter VIA= Dedetions trom Total Income Value of Proof Attached Tl eica Insurance = Self! Spouse / Children (<60 yrs) = With newranes rm (Ol Media Insuranss = Self / Spouse / Children (=60 vs)- With Insurance 0.00 (of Medial Insurance - Self? Spouse /Cilden 60 ys)- Without Insurance 109 0 Media! Insurance for Parents (<6) = With nsuranee 00 0 Medial Insurance for Parens =60yr)- With Insurance 0.00 ‘of Mecca Insane for Parents (=). aout Inara 0.00 0) Medial Treanen Handicapped Dependent (Uis S0DD) < 80% 00 of eden Treamenu Handicapped Dependent (Uis $0DD) > #0% 0.00 ofits on Educational Loan (Us 806) 1100 ‘OPemnanent Physical Disability (80U) < 80% 0.00 [Permanent Physical Disability Severe Disabil (OU) > 80% 0.00 of ein Treatment of Speifed Diseases (Q0DDB) 000 i ‘| Media! Treatment of vey senior iin (S0DDB) 000 (feds Treatment of senior eizen (S0DDB) 1.00 ‘of Additional Housing Loan lines Benefit (Us 80FE) 0.00 (0 Adiional NPS Employce Comtibutin(SOCCDIB 0.00 (of Eerie Vaicle Loan iret Benefit (Us S0EER) ‘0.00 ‘ol Addins! Housing Loan Interest Benefit (Us SOEEA) 09 0 Deduction for Interest on Deposits ia Savings Account (Ws BOTTA) 0.00 [Deduction fr Interest on Deposits in case of Senior Citizens Us SOTTB) 0.00 Section C - Chapter VIA. Sesion HOC 75000] Contbuton vo Pension Fund (80CCC) rm 52993] Life Insurance Premium (Jeevan Dhar, Jevan Abs) ete $2993.00 10000] Public Provident Fund (PF 000.0] | National Savings Cenieate (NSC) 0.00 ofinrseyowre Bonds rm (0 chlden Edenton Tuan ees 32340.00 ofequiy Linked Sovings Scheme (ELSS) 00 otal Funds 0.00 (Oftnit Linked tnswrance Plan 0.00 0] Year Deposit under Senior Crizen Saving Scheme 0.00 | Cumulative Term Deposits 00 os Vexr Time Deposit Post Oce 90 G[NPS Empoyee Contribution 1.00 T0000 | San Sandi Scheme 3000.0) [oss Housing Loan - Principal Amount paid, Regisvaion Fee, Stamp du 3459.00 ‘of Fxed Deposit Scheme (Blok Period of 5 ys) 0.00 [NSC Interest Wil alo be considered as Other Income) 2.00 Section D(b) Los from House Property- Sef Occupied (Prinepal & Interest) “opa06| Los frm Mouse Property ~ Self Occupied (ini & Ineest) 14900. [Section G -Other Income 2s of Bank ners exuding erst on savings account) ami) Ollneres income w Senior Chizen\Considered as deduction ws SOTTB up Rs 0000) 00 (o]lserest on Deposits in Savings Account (Considered as deduction ws HOTT upto Rs.10000) 09 Tlole: This Documents computer generated. Hence, dove not require manual signature or authentication EPSF Confimed on 07-01-2021 16:20:46[iter inom O00 [NSC Interest (Other Income 00 Paricuars roviden Fund 70236. dia Insurance for Paes (>=60yr)- Wah Insane 1575300 [Payroll Deduction - Total 0049.00 Dependent Details: yendent Name Relationshi Tinks Rahacrh S0 Prams Kumari [Suvika Singh [Daughter Declaration: | Uhereby declare ha I have ead and underston the guidlines provided in "roofs Option Document and tht al nfrtion, documents provide are uc and catet in allrespecs. 2. also undertake to indemnity the company fr any Yossi that may arise, in the evento any ncortetnfomntion dcuments provided by me *Indsaesrandatory Helis a per our database, Pease vent the same anf blank, pleas flan submit the form, HRA Land Lord Details Property [Landlord Name Landlord Pen Landlord Address [Amnuai Rent r [Amit Kumar [pHEPGs209% [Nest Lsi Mandi Ramdau enclave 776000) arn nagar ae 110059 a "Note: This Oocument is computor generated. Hence, does not requre manual signature fr authonticaton. EPSF Confirmed on 07-01-2021 16:29:44Self declaration given for possession of Housing property(in the absence of Possession certificate) - Self Occupied(1) (Applicable it housing loan intrest principal dedution benefit is eaimed us 24) “This sw deta tha 1 Thr Roitesh ave gue the ownerhipfpossasion of my hose property lcd at the flowing ass on 31/1012018 (DMMIYYYY) Ades: LUNIT No 5102S Floor Mahagan Mintoods Ebony tower Plt GIG Sector 16C Greater Noida 201510, Nowa {Loan Lender/Bank sme : HDF -Housing Devslopment Finance Cocporation iri {Loam Sanction Date: (4/102018 ry “ie (ee ‘Note: Section 2(b of the Act allows deduction fom income from house property on interest on borrowed capital as under i) The detactin is allowed only in ease of house property which is axed and the occupation ofthe employe fer his ow residence, However, iit rot aemully occupied GOI enone ew of ha place of the eoployment being a other pace, hi residence i thal oc plac should not be ma balding belonging thi. {i) Th ase so acquired r contrac should he completed within 3 years from the en ofthe FY in which the capital was rrwed Henes itis neces forthe DDO to {the Simpson seats othe house propesy agaist which deduction lated cer from te builder or trough sl-dclaratio rom the employes. ‘Note: This Document is computer generated. Hence, dogs not requre manval signature fr authentication. EPSF Confirmed on 07-01-2021 16:25:44FORM NO. 12BB (See rule 260) Statement showing particulars of aims by an employe for deduction of tx under section 192 1. Nameand addees ofthe employee ‘Thakur Robitesh 2. Permanent Account Number ofthe employee APEPRIGTSK 5. Financial year 20202021 ‘Deis of lana and evidence hereof SUNe [Nate ofetaie [Amounts [EvidencePartcuars o la mo io ‘louse Rent Allowance: i) Repaid to the land: Rs 276000 i) Property No:t + (Name ofthe landlord :Amit Kumar s.276000 House Ren Receipts (i) Ades of the lanord ‘Nese Lal Mandir Randa enclave Uttam nagar East 110059 iv) Penmanent Account Number of the Landon ;BHERGS249K (6 Annual Rest 276000 Leave Travel Concessions oF Assistance Rs ‘eseton of intrest on Borrowing: rave Receipes Tickess iy tmeres Payable Paid othe Lender ‘Self Ossupiad eres - Property 1 R Self Occupied Ttret - Property 2 Rs Self Occupied lterest, Rs189022 Levu inerest i) Name ofthe Lender Self Occpied- Property | HDFC-Housing Development Finace Corporation Lint sgo022 Set Occupied - Property 2 Levout . (ip Adres ofthe Lender Self Occupisd# Ground Flor SR-10 Ansl Plaza Vash DistGhaiobed Proper up 2ni010 Set Occpied “Proper 2 Laut rs-1s9ozz0 Brana! toa (Gs) Permanent Account Number of the Lender ‘tf Occup = Property 1 AAACHORSTE ‘Self Oceupid Property 2 Let Out (2) Finca nstiatons {Employer (Others Note: This Document is computer generated. Hence, does not require manual signature for authentication. EPSF Confimed on 07-01-2024 18:29:44DDedvetion under Chapter VIER (4) Section #0C,S0€CC and 80CCD (Seaton 0 (@) Provident Fund 5.70296 (6) Housing Loun- Principal Amount paid, Registration Resvs4s2 Fees, Stamp dy (©) Public Provident Fund (PPP) ‘s.4000 tion Tuition ees Rs 32340 tooopy ofthe fvesiment . (@)Chitren Barca fe Rees east arn (e) Sukanya Sarid Scheme R900 pro (f Lie surance Premium (Jeevan Dhara, Jeevan Rss2095 nkay) (i) Seeon socce (i) Section 80CcD (8) Ornerssetions (e.g, $0b, $06, SOTTA, et.) under Chaper VIA. ‘Veriticaton Thakur Rehiterh, So/Dauphter of Singh Karmbie, do hereby cen that the information given above is complet and comes Pace + Noida Dawe: 07-01-2021 wee Signature ofthe Employee) [Desgnaon : NW Perf and Optimization Specialist Full Name That Robles Note: The iformation/dctails above as required fr deduction of tax ws 192 the tncome Tax Act, hasbeen entered by the employce throu portal. Note: This Documents computer generated. Hence, 606s not require manual signature for authentication EPSF Confirmed on 07-01-2021 10:20:44: Employee ID 61448220 Employee Name THanve Ronirtesy Name of the Landlord Anat Karak PAN of the Landlord ** BHERG S249 Address of the rented Property air. Hien Suvcily , Inlea|osern Ghazieled , UP -20l0ly te Received with thanks from NIMs, sum of Rs. e208, (Rupees. nian ® Ron ter only) towards the rent of the above mentioned residential premises for the month of Are 20° June34 GOED oes reascvereeee Drawn Signature Name of the Landlord Kueras ‘The above charge does not include electricity and water charges, and rent towards the furniture ete. “(PAN of Landlord is mandatory is if the monthly rent amount greater then Rs.8,333/-,)Employee ID 6)44S2L0 Employee Name __| Taatu@ Ron ites Name of the Landlord Dent Kaeo PAN of the Landlord ** BE PG SL YSIS [rr shipre Sercity , Indaafteen Address of the rented Proper a Ghaziabad ,Upp + so ol4 KR Roti T ES. Nine Hthouserre only bs only) fed residential premises for the month hf leo “fo se}-20 a F/M. Received with thanks from 44,004 ni dated......... . Drawn ‘Address of the Landlord : Signature Monks LL ordis ke = Ap ae seicootlic stub olay pat 108% Name of the Landlord ven Pret Kens, ‘The above charge does not include electricity and water charges, and rent towards the furniture etc. “(PAN of Landlord is mandatory is if the monthly rent amount greater then Rs.8,333-.)S4Fsrw90 Employee ID Employee Name. THAevR ROH TESY Name of the Landlord Aorit Kmat PAN of the Landlord ** BHEPG SANS IC Address of the rented Property gin hfe Soeity , Prdoapveen ghaaideal .4P 20) ol Received with thanks from MAM. ...... HMMS... ROMMTESH sum of Rs, —-21,092} <0! (Rupees... only) towards the rent of the above mentioned residential premises for the month of 0c/x0 4° deco 020/2021.....by east Cheque No dated... .. Drawn IK. Address of the Landlord : Signature fandith encleve ace ean vero Name of the Landlord Brit Koerres ‘The above charge does not include electricity and water charges, and rent towards the furniture et. “(PAN of Landlord is mandatory is if the monthly rent amount greater then Rs.8,333/-)Employee ID 6149220 Employee Name THAKUR ROHITESH Name of the Landlord eit Kamae PAN of the Landlord ** RNEPG S249 Shr shibva Sindky , Todaapuiam Address of the rented Property Ghariabed , UP -Lojoly Received with thanks from Mr./Ms, ........ JIAKUR, ROMITESH sum of Rs. —-63,a00/=108 (Rupees. a ol towards the rent of the above mentioned residential premises for the month oF Feat! fo Men3) see 2020/2024 By Gash! Cheque No... dated... Drawn on vee Bank. Address of the Landlord : Signature - perndadt enclave mantis, 4 he 2 2 ha pole gas 0084 Name of the Landlord uv Dori: Kuroras The above charge does not include electricity and water charges, and rent towards the furniture etc. “(PAN of Landlord is mandatory is if the monthly rent amount greater then Rs.8,334/-,)awe RonrTesn (Expiol — by7L229 [3 HDF) Date : 22/12/2020 TO WHOMSOEVER IT MAY CONCERN TYPE : S71- RESIDENT HOME LOAN-VARIABLE RATE-MONTHLY RES. 0 PROVISIONAL STATEMENT for claiming deduction under Sections 24(b) & 80C of the INCOME-TAX ACT,1961 for the period 01/04/2020 to 31/03/2021 This is to certify that MR ROHITESH THAKUR MRS KUMARI PRAMA (Loan account number 635967362) has/have been granted a HOUSING LOAN of Rs. 33,90,000 @6.85% per annum* in respect of the following property : UNIT NO. 05102, 5TH FLR,MAHAGUN MYWOODS TOWER EBONY, PLOT GH-04,SECTOR 16C,GR GREATER NOIDA- 201310 The above loan is REPAYABLE in Equated Monthly Instalments (EMIs) comprising Principal and Interest. The total amount of EMIs payable from 01/04/2020 to 31/03/2021 is Rs. 5,82,474.00. The break-up of the amount into Principal and Interest is given below : PRINCIPAL COMPONENT Rs. 3, 93,452.00 INTEREST COMPONENT Rs. 1, 89,022.00 Principal Prepayment at fully disbursed stage Rs. 60,000.00 Simple Interest on Prepayment Rs. 344.00 NOTES 1.Interest is calculated on monthly rests. Principal repayments are credited at the end of each month. 2.Interest and Principal figures are subject to change in case of prepayment/s and/or change in repayment schedule. 3.Principal repayments through EMIs and/or Prepayments qualify for deduction under Section 80C,if the amounts are ACTUALLY PAID by 31/03/2021. 4.Deduction under Section 80C can be claimed only if (i) The repayment of the loan is made out of income chargeable to tax and (ii) The property for which the loan is taken is not transferred before the expiry of 5 years from the end of the financial year in which the possession of such property is obtained. THESE CONDITIONS HAVE NOT BEEN VERIFIED BY HDFC. 5, Interest payable on the loan ( including Pre-EMI Interest, if any ) is allowed as a deduction under Section 24 (b) . THIS STATEMENT BEING PROVISIONAL IN NATURE REQUIRES NO AUTHORISATION FROM HOUSING DEVELOPMENT FINANCE CORPORATION LIMITED (PAN: AAACHO997E) THE AMORTISATION OF THE LOAN IS AS PER THE REPAYMENT SCHEDULE BELOW :~ From Dt To Dt ROI(%) EMI From Dt To Dt ROI(3) EMI APR-20 APR-20 8.35 40,621 MAY-20 MAY-20 8.35 47,216 JUN-20 AUG-20 8.15 47,216 SEP-20 NOV-20 6.95 50,427 DEC-20 6.85 50,427 625967362 MR AOAITESH THAKUR BND ELR, MOUL SIRI ROAD, "TY, INDIRAPURA, TNDERAPURAM, GHAZIABAD-202014 Regd. office: Ramon House, HT Parekh Marg, 169, Backbay Reclamation, church 400 020. ‘Tel: 66316000, 22820282. Fax: 022-22811205, 22046834, 220467S8.,CIN: L0100MHI977PLCOLS9I6Twoeug Rontésn (Cxprel-§ 1478230) DATE : 22-DEC-2020 MR ROHITESH THAKUR FLAT NO8/12 2ND FLR, MOUL SIRI ROAD, SHIPRA SUNCITY, INDIRAPURAM, INDIRAPURAM, GHAZIABAD-201014 Loan Account Number : 635967362 TYPE : RESIDENT HOME LOAN-VARIABLE RATE-MONTHLY REST STATEMENT OF ACCOUNT FOR THE PERIOD 0: 0 to _22-DEC-20 BORROWER /S ROHITESH THAKUR KUMARI PRAMA (All amounts in Rupees) LOAN AMOUNT i 3390000 ROI : 06.85% CURRENT EMI : 50427 DISBURSEMENT UPTO DATE: 3390000 DISBURSEMENT FOR THE YEAR : 0 During The Year EMI PEMI _ Oth Recd Total Opening balance 40621 0 40621 Receivable 380766 0 380766 Received 421387 ° 421387 Receipts other than EMI and PMI o0a94 60344 Transactions during the Year : Ace Dt Doc No PM Description Amount Eff Dt Bounce Reason (For Cheque Bounce if any) O8-APR-2020 6858992924 A EMI 40621 05-APR-2020 OS-MAY-2020 7822048128 A EMI 40621 05-May-2020 28-MAY-2020 38920 B SIMPLE 344 26-MAY-2020 INTEREST ON PREPAYMENTS 28-MAY-2020 38920 B EMI 60000 26-may-2020 PREPAYMENT 05-JUN-2020 8390076534 A EMI 47216 05-JUN-2020 06-suL-2020 9094750908 A EMI 47216 05-suL-2020 0S-AUG-2020 9717848752 A EMI 47216 05-auc~2020 05-SEP-2020 487824606 A EMI 47216 05-SEP-2020 O5-ocT-2020 1085902825 A EMI 50427 05-ocT~2020 O5-NOV-2020 1703414247 A EMI 50427 05-Nov-2020 Q5-Nov-2020 301076 VEX GRATIA ~ 2060 05-Nov-2020 EMI OS-DEC-2020 2304999179 A EMT 48367 05-Dec-2020 Account No: 635967962 Page tio; 2 of 2 Regd. Office: Ranon House, # T Parekh Marg, 169, Sackbay Reclanation, Churchgate, Mumbai 400 020. Tel: 66316000, 22820262. Fax: 022-22611208, 22046834, 22046758., CIN: LVOL00MLSTIPLCOLSI1P Treva, Romtesn (Bp id-ayaree DATE : 22-DEC-2020 MR ROHITESH THAKUR FLAT NO8/12 2ND FLR, MOUL SIRI ROAD, SHIPRA SUNCITY, INDIRAPURAM, INDIRAPURAM, GHAZIABAD-201014 Loan Account Number : 635967362 Ace Dt Doc No PM Description Amount Eff Dt Bounce Reason (For Cheque Bounce if any) Paymode: A-ACH Mandate; B-Cheque; V-Voucher; Negative amounts are indicated in brackets. THIS STATEMENT REQUIRES NO AUTHORISATION FROM HOUSING DEVELOPMENT FINANCE CORPORATION LIMITED. Account Nor 635967362 page wo: 2 of 2 Regd. Office: Ranon House, HT Parekh Marg, 169, Backbay Reclamation, Churchgate, Monbai 400 020 Fel: 66316000, 22820282. Fax: 022-22611205, 22046234, 22046758. CIN: LI0100MMI977FLC0193169 Parent Copy “THALR RohiTesn (eat ervarag, THE MANTHAN SCHOOL MAHAGUN MYWOOD CAMPUS. Plot No. GH-04, Sector 16C, Gr. Noida (West) Phone: 09999116800 , Email: info.ne@manthan edu in Website: www themanthanschool.co.in/noida FEE RECEIPT(2020-21) RECEIPTNO. TMSNEDO-21A5 DATE 1a NAME OF STUDI Grape Neng oan FATHERSNAME haku ROME ores Nae saa oa AOMIBSIONNO.__sNEa600 oni so saraies Description Due | Concession] waiver | 8d atance [Sar RRS —| gp Sas learen esa cOWOSTETUeN eROCT DEC TOT si] aea0 0 a Pay Mode Information Sto. Pay Mode | Bank Number, Date [Amount 1 Online (00f13041608541025276 [xe420.00 ‘Total in words : Rupees Eighteen Thousand Four Hundred and Eighty Only Total: 18480 + Fees pinable by DDChequelCashiCard, * eal charges on bounced cheques Rs S0/- Only DD or Cash acceptable sterwarde is a computer generated receipt does not ire signaturePAw® Ronrtes4 Chap id- bly 75220) Parca Copy THE MANTHAN SCHOOL ee MAHAGUN MYWOOD CAMPUS eres Plot No. GH-04, Sector 16C, Gr. Noida (West) angst Phone: 08808116800 , Email nfone@mantnan eduin Website: winwthemanthanschool.co.in/noida FEE RECEIPT(2020-21 RECEIPTNO. TTWSNERO DIS DATE sa [NAME OF STUDENT SKTVIKA SINGH rane Nesting rery-D PTIER'S NAMIE THAKUR ROHITESH MOTIER'S NAME DRAMA KUMARI ADMISSION. MSWE-127620 MonILE No. aar7ani022 Deseript Due | Ci Wai Paid | Bat scription we _| Concession] Waiver | arroune | Balance COMPOSITE ANTAL FEE [NON REFUNDADLDCAPRION HDT TUL-REP a Fi a cae a 202021) see ee. Se COMPOSITE TUCTION FEEIUL.SEP200 23100 4620 | 1380.00 o Pay Mode Taformation SENO. Pay Mode [ Bank Number Date Amount o Online (00f13041596120992662 73860.00 ‘Total in words : Thirteen Thousand Bight Hundred and Sixty Rupees Only ‘Total : 13860 “+ Fees payable by DD/ChequetCasiCard. * Penalty chases on bounced cheques Rs $0- Only DD or Cash acceptable serward. [This is a computer generated receipt does not Irequire signatureTrak Roni tEsy CEopid - 6478220) TATA AIA mm LIFE INSURANCE LIFE INSURANCE PREMIUM CERTIFICATE (Pci Yur 200.2021) THAKUR ROHITESH. SOSH RARAMBIR SINGH NAWADA,ARA, RA 409501 Sic BAR Phone 9817411022 1EHIND SBI MAIN BRANCH “This ito ay the flowing deals Policy Nember contosseas Basie Plan Fras AIA Life Assure 20 Years Secu tv Grow an TONDISVON) Insured Name THAKUR RONITESH lcyowner Name | THAKUR ROWITESH Mode af Premiums [ANNUAL Base Sum Assured Units_|300000.00 Date of Hsuance 1.08:2018 Next Da date 15.09-2021 Next dve premium Rs) _|20670.00 “Tay Sections Amount (Rs) Cat lncome Tax Act, 961° 2067000 SOCCC of came Tax Act, 000 0D of come Tax Act, 1961 000 “otal roma | 2067000 Goo and Servis Ta "465,00 ‘Taleo pi rng the Finacial Year 2020-2021 2113800 “Tal anu of Top up prema pid daring the Financial Year 2020-2021, 00 Amount vale in Exess: 00 Rider Details Rider Name Rider Sum assured Rider Premio Tata AIA Life Aes 300000 00 30000 en Death Benet {TAD} Rider ' Sejot tration of peyment ese. {init rn abi soho ha manele hep neg emer lee or ‘rapa oeamympey Gverma) aeyadmiarate ry ram me tne hein pp sorte Pay bar spi he Paar ‘cme Tr eve Ck 00 eel pri vii acme sy et alten nae ated Tt AA Fae Comping {ints sna ropmanny ont pcan ene spur hc sv a ont a nm te ba atau [IRDA has mandated for all payouts tobe made through NEFF. Please rehtr for NEFT, incase you have nt done already PAN: ARCTIC nda crt tia RD oda fi arth acini esnips pit re ns nt en sing oh ne gd ae gle ng ee rec ne “Tate AI Life Insurance Company Lt. ROA ot nia Rep No. 170)CIN - US6O10NNZOD0PLCI2E409)THe wek RonrTEsH (enpid— 619959220) TATA AIA == LIFE WSURANCE Premium Receipt Date: 14 Sep-2020 Personal Details eho ee rice Policy Owner Name: THAKUR ROHTESS Life Assured Name: THAKUR RORT#SH PAN: Updates NEFT: Updated malt aronymousthaker@gral com contact Nua ST AA1OR2 ie | [Agent Name: Tata Ala Ronchi Agent Contact Number: 185026555966 | Policy Details Premium Amount Due : 20,67000 Payment Mode: Ancval [Goods & Service Tax (GST): € 465,00 Payment Method: Cash/cheque * Total Amount Due :€ 21,135.00 Next Premium Due : 13-09-2021 [Amount Received :€ 21,135.00 . Excess Amount™: 000 Tax Benefit Details ‘Tax Applicable under Sec 80 ‘Tax Applicable under Sec 80 CCC ‘Tax Applicable under Sec 80 D $20,670.00 3000 ae Payment Details = Receipt Number Receipt Date Amount VASI2855 FFOE-2020 $21,135.05 Please note: ‘@ This document can be used asa proof for claiming deduction while filing your tax retums and tex benefits wouldbe applicable as per the provaling tax laws. '¢ Payments which have been made other than cash are subject to clearance including through electronic mace payments. © Anyexcess premium willbe adjusted towards premium dv inthe current financial year ar due in the nest three months whichever {slater Else premium will be auto refunced post 15 days (© Applicable govt taves, surcharge, cess induding GST would be charged in accordance to applicable Laws and company will have the tight to recover the same from policyholder ‘© Please refer policy cocument for detailed termsané conditions sr oetails Base Preis Tobie Value | cosTooo% | sesr/urasraaox | 16st i8.00% [Reverse charge] 72667000 mse | tao 00 500 7 Tata AA Ue insurance State] _xanciano” [Tata IA surance GTN] ZowsbCTHACITR | SAC Description | Ueesurance | Policy Owner's GST State BIHAR Policy Owner's GSTIN ‘NA SAC Code. 997132 | Consolidated Revenue stamp duty paid: Notification No. Mudrank - C5/09/2020/1364/2020, dated 13-May-2020 vice receipt number MH000311225202021M dated on 02nd May, 2020, #RakshakaranKiReet rerum and late payment fe if any) excess Amount isbalance available with vs after adjusting for outstan PAN: AABCTS7B4G | Catogey of 5¥ LIC ut's Services , Life Insurance Corporation of India PCMC,Network Operating Center st Floor, Jeevan Seva Annexe S.V. Road,SantaCruz(W) ‘Mumbai - 400 054 DATE OF ISSUE :23/12/2020 PREMIUM PAID STATEMENT FOR THE YEAR 2020-2021 The following premium has been received for life insurance policies of Thakur Rohitesh Number of | Premium’ | Service Tax! GST Policy Number Date of | OueFrom | instalments] Additional | TAT Cty | Received | coll Br Policy Holders Name | Commence. | OueTe | and ‘amount, | Received’ | Date | Serv. Br. mode ® ® 516930076 zavosra020 | 4 EPsi E : Thakur Rohitesh 281082010 | oeosr2020 | Hy ee Hn See | Secs 516900616 zarnira020 | 4 EPI 7 15, ‘Thakur Rohitesh 28108/2010 | oei1112020 | Hy 5,929.00] 0.00 24i11i2020 | FP All the above payments are subject to cheque realisation, wherever applicable. Total amount received towards premium for the policies listed above is % 31,858.00 for the financial year 2020-2021, Total amount received towards Service Tax / GST for the policies listed above is % 0.0 for the financial year 2020-2021. * Please note GST is applicable from Ist July, 2017. This document is electronically generated. In case of any queries, please send SMS as follows -- type "LICHELP " and send it to 9222492224. Our Customerzone Official will get in touch with you shortly.“Maud Roni tesy (Erp id - 61479220) LIC ics Services Collecting Branch: EPS1 Servicing Branch : LIC of India, Arrah Branch Mahavir Tol. Transaction No: 278374% earns. ‘Arrah Bihar, DateTime): 24/11/2020 ( 12:46:48 ) ‘Arrah 802301 Receipt No: PR2783740600012021, Page oe meena Call Center No: 022 6827 6827 RENEWAL PREMIUM RECEIPT Received with thanks % 15,929.00 through Payment Gateway over the Internet from: SmtiMs./Shri: Thakur Rohitesh towards the following PolicyNo] Plan Term Wo Of inst cost | Branch Name Doc. Due From sestiurast| Next Due Revival | agency coue | SumAssured | DueTo | cDCharges | TotalAmt | Reg. No (Yes/No) eet ® (3) @ sresa616 | 75 20 15,929.00, 76,929.00 0.00 528 [Thakur Rohitesh 28/05/2010 HLY 1120 0.00 0.00 05/21 No 02295528 '5,00,000 11/20 0.00 15,929.00 _|1oxactossztiazo} Page Total (®) 15,929.00] 15,929.00 0.00] 0.00 0.00) 0.00| _ 15,929.00] Grand Total (@) 15,929.00] 15,929.00 0.00 0.00 GST borne by LIC of india € 358.40 FIFTEEN THOUSAND NINE HUNDRED TWENTY NINE RUPEES AND ZERO PAISE ONLY ‘Thakur Rohitesh SIO Sei Karmbir Singh Behind S.B.|, Nawada Arran Dt-Bhojpur Payment Acknowledgement generated through Online Portal on: 23+ Time - 16:38:42. Email: an‘***"""ur@gmail.com This receipt is electronically generated and no signature is required. Har Pal Aapke Saath! EEThaxok Roni Tesh (Crpiel 14H) EILIC Ut's Services SS Assivig Beonstic” BBE Servicing Branch : LIC of India, Arrah Branch Mahavir Tol. Transaction No: . aes ‘Arrah Bihar, Date (Time): 23/05/2020 ( 12:57:32 ) ‘Arrab, 802301 Receipt No: PR0694239400012021 ee ees Call Center No: 022 6827 6827 RENEWAL PREMIUM RECEIPT Received with thanks 15,929.00 through Payment Gateway over the Internet from: Smt/Ms./Shri: Thakur Rohitesh towards the following PolicyNo | Plan Term] Inst. Premium | No Ofinst cost] Branch Name Doc Mode Due From sestiuTest] Next Due Revival | agency coue | SwmAssured | DueTo | cOCharges | TotalAm | Rog. No. (resiNo) @ ®) @ 516939616 [Thakur Rohit 75 120 15,928.00 28/05/2010 HLY 05/20 15,929.00 0.00 0.00 0.00 No 02298528 | _5,00,000 0520 0.00 Page Total (%) 15,929.00) 15,929.00 0.00 0.00] _ 15,929.00 Grand Total @) 15,929.00 15,929.00] 0.00 0.00) 15; GST bome by LIC of india ® 358.40 FIFTEEN THOUSAND NINE HUNDRED TWENTY NINE RUPEES AND ZERO PAISE ONLY Thakur Rohitesh ‘$10 Sri Karmbir Singh Behind $.8.1, Nawada Arrah Dt-Bhojpur 202301 Payment Acknowledgement Moble: ee'-*29 Online Portal on 23-Dec-20 Email: an*™****ur@gmail,com This receipt is electronically generated and no signature is required. Har Pal Aapke Saath!TaKse Ronitesy Cerypid -64yts120 ) Acct Bank PPF DETAILED ACCOUNT STATEMENT carat exerntero Ta ROHTESK cree arterton rn © ee Tresor "TraKoe Roni tEsn (Gap id 61478220) Picict Bank Chee aterm ‘SUKANYA SAMRIDDHI ACCOUNT DETAILED STATEMENT ‘ori SATA SW NR EE macori- SATUKA SINGH UN cr BE7 A Pa TT gy aaa aE T rE TT et —— ERE TERPS —T — | aes ae pornos —t — 5 rae] — serves ‘acdeaaiaamanaiaal ao] 7 | — a Ta — a