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22/04/2021 PremiumReceipt

Premium Receipt

Life Assured: Mohan Jadhav Date: 22/04/2021

Policy Holder Name: Mohan Jadhav Policy No: 00769118

Address: Flat No 701,Bhagyawan Apartment


Friends Colony , Juvekar marg
Bhandup East
400042
Maharashtra

IND

Date Of Commencement Frequency Of Payment Premium Due Date Premium Paid


22/04/2021 Yearly 22/04/2022 40000.00

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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