PREMIUM ACKNOWLEDGEMENT RECEIPT

Product Name Poorna Suraksha UIN No

Sales Representative Code 173066 Sales Representative Name SARIT KUMAR DHAR

Payment Mode Online

This is to acknowledge the successful payment for your SBI Life - Poorna Suraksha Proposal.

The details are as follows :

Proposer Name Mr. SOUMA MAZUMDAR

Proposal No. 2FYA281399

Transaction Date 23-July-2018

Transaction Reference No. NSM36512134166

Quotation No OL2F00000017306623072018011939

Installment Premium 4457

Term 30

Sum Assured 1600000

Frequency Yearly

Proposal Deposit Paid Rs. 4457 ( Rupees four thousand four hundred and fifty seven Only )

Transaction Status Success

• Please quote your proposal number in your future communications along with Quotation Number.
• This acknowledgement is electronically generated and does not require any signature.
• Please note that this acknowledgement is for your reference only and cannot be used as a valid proof to avail tax rebate under Sec 80C/sec 80CCC of
Income Tax Act, as applicable.
•Insurance Cover would commence only on acceptance of risk by SBI Life & issue of the policy contract by SBI Life from the date indicated herein.
• The amount held in proposal deposit does not earn nay interest.
•GST is applicable for the J&K policies as mandated by the Govt. of J&K.
•In case of any doubt or clarification, please call our toll free number : 1800 22 9090