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Renewal Receipt (Provisional)

MR ANJANEE KUMAR
Date: 31/05/2021
S O RAM NARESH THAKUR , AT PO CHHATAUNA
,Samastipur - 848134 Acknowledgement No: TQ0907728
Bihar
Contact no: 9006349090

Dear MR ANJANEE KUMAR

Thank you for choosing Future Generali as your preferred life insurer. As a valued member of the Future Generali family, your continued patronage is
important to us.
Please find below the details of premium(s) which we have received.

Premium Policy No Premium Amount Reinstatement interest Goods and Total Premium Payable
Details Service Tax
01308563 20089.00 1683.00 452.00 22224.00

Receipt Amount Paid Payment Type Transaction ID Bank Name Credit/Debit card no.
Details
22224.00 Online 1456478585 NA NA
Your Advisor details:
Name SUMIT KUMAR
Phone No. 9525346279
Email ID
Should you require any further clarification or assistance, please feel free to contact your Advisor, or get in touch with us
at any of the Service touchpoints mentioned below.
Assuring you of our best services.
Customer Service
Future Generali India Life Insurance
Terms & Conditions:
1. This payment acknowledgment customer copy is issued by Future Generali India Life Insurance Company Ltd. This acknowledgment is subject to Future Generali India Life Insurance Company Limited
accepting the premium and appropriating the same in the respective policy account and subject to issuing the receipt against the same. The Renewal Premium is adjusted on the due date even if it has
been received in advance
2. Mere acceptance of premium deposit should not be construed as confirmation of renewal /revival of policy
3. This acknowledgment is subject to payment realisation
4. Goods and Service Tax, if any, are charged at the rates applicable from time to time
5. Premium payment(s) exclusive of Goods and Service Tax to Future Generali India Life Insurance Company Limited are eligible for tax bene fit(s) u/s 80C/ 80CCC(1)/ 80D as applicable subject to
satisfaction of the conditions specified under Income Tax Act, 1961
6. You now have an option of receiving payments, if any, under your policy through Electronic Fund Transfer (ECS)
7. The TDS u/s 194DA of Income Tax Act, 1961 is applicable if any amount paid/ withdrawn under the policy, if the policy at time of payment falls within the purview of section 194DA. Hence please visit
the nearest branch to update your PAN details, to avoid higher rate of tax i.e. 20% u/s 206AA. If you wish to avail benefit(s) u/s 197(1), 197(1A) & 197A(1C) of Income Tax Act, 1961 then please submit Form
15G or Form 15H
8.Premium payment(s) exclusive of Goods and Service Tax to Future Generali India Life Insurance Company Limited are eligible for tax benefit(s) u/s 80C/80CCC(1)/80D as applicable subject to
satisfaction of the conditions specified under Income Tax Act, 1961.

Operations Hub: Policy Servicing,Future Generali India Life Insurance Co. Ltd, Unit 801 and 802, 8th floor, Tower C, Embassy 247 Park, L.B.S. Marg, Vikhroli (W), Mumbai

SAC- 9971 Life Insurance Services (excluding Reinsurance Services)

You can reach us via any of the following modes:

This is a computer generated communication and does not need a signature

BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS. IRDAI clarifies to the public that: • IRDAI or its officials do not involve in
activities like sale of any kind of insurance or financial products nor invest premiums • IRDAI does not announce any bonus. Public receiving such phone calls
are requested to lodge a police complaint along with details of phone call, number.

Registered & Corporate Office address: Future Generali India Life Insurance Co. Ltd, Unit 801 and 802, 8th floor, Tower C, Embassy 247 Park, L.B.S. Marg, Vikhroli
(W), Mumbai - 400083. Tel.: 91-22-4097 6666 Fax: 91-22-4097 6600. | Email: care@futuregenerali.in | Call us at 1800 102 2355 | Website: www.futuregenerali.in |
IRDAI Regn. No. 133 | CIN : U66010MH2006PLC165288