Premium Receipt

Receipt No.: 526334479JUL2102 | Receipt Date: 31-JUL-2021

Personal Details
Policy Number: 526334479 Email ID: singhvikash657@gmail.com
Policyholder Name: Mr. Vikash Kumar Singh PAN Number: FRAPS3968B
Address: PLOT-26, FLAT NO-301 SRIRAM PUNARVASU Customer GSTIN: Not Available
GAUTAMI ENCLAVE, KONDAPUR Current Residential State: Telangana
Hyderabad- 500084
Telangana
Mobile Number: 8904688219
Policy Details

Plan Name: Max Life Online Term Plan Plus Policy Commencement Date: 31-JUL-2018
Life Insured: Mr. Vikash Kumar Singh Policy Term: 39 Years Premium Payment Term: Regular
Premium Payment Frequency: Quarterly Date of Maturity: 31-JUL-2057 Modal Premium (incl. GST): ` 2,114.00
Late Payment Fee (incl GST): ` 0.00 Premium Received (incl. GST): ` 2,114.00
GST Details Connect for more details
Coverage Taxable SGST/UTGST CGST IGST Name
Type Value (`) Rate Amount (`) Rate Amount (`) Rate Amount (`) Customer Services Customer Advisory Team
Base 1,748.72 NA 0.00 NA 0.00 18% 314.77
Rider 42.83 NA 0.00 NA 0.00 18% 7.71
Contact Number
Late Payment 0.00 NA 0.00 NA 0.00 18% 0.00
18601205577
Total GST Value: ` 322.48
GSTIN: 06AACCM3201E1Z7 GST Regd. State: Haryana SAC CODE: 997132

Total Sum Assured of base

plan and term rider (if any)

31-JUL-2021 to
` 1,00,00,000.00 ` 2,114.00 30-OCT-2021 31-OCT-2021
*Important Note:
1.For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk commencement starts
after acceptance of risk by us.
2.Amount received would be adjusted against the due premium as per terms and conditions of the policy.
3.Premiums may be eligible for tax benefits under section 80C/80CCC/80D/37(1) of the income Tax Act 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due
to changes in legislation or government notification.
4.GST shall comprise CGST, SGST / UTGST or IGST (whichever is applicable) including cesses and levies, if any. All applicable taxes, cesses and levies, as per prevailing laws, shall be borne by you. For GST
purposes, this premium receipt is Tax invoice. Assessable Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%, Single Premium Annuity is 10%, Term and Health is 100%.

Authorised Signatory
PRM21V5.9 10072021 PRODUCT UIN: 104N092V03
E.&O.E 2021-07-31.03.35.14.280981