Premium Paid Certificate

Policy Number:23094873
Í7)PiÈPPC_LET_01eÎ
Mr. Vishal Dwivedi Date : October 27, 2021
Flat TF-3, 4th Floor, Plot 1506,
Sector 5,
Vasundhara
Ghaziabad
Uttar Pradesh
201012

Dear Mr. VISHAL DWIVEDI, (Client Id: 58283028 )

Subject: Premium Paid Certificate from 01-04-2021 To 31-03-2022
We thank you for giving us an opportunity to serve you.
This is to certify that we have received the following premium amount in the financial year 2021-2022 against
your Life Insurance Policy with PNB MetLife India Insurance Co. Ltd.
Policy Number 23094873 Plan PNB MetLife Endowment Savings+
Policy Owner Mr. VISHAL DWIVEDI Sum Assured 1595610.00

Life Assured Mr. VISHAL Effective Date November 15 ,2019

DWIVEDI
Premium Details Mode Annual
Base Premium Rs. 143541.08 Coverage Details
Accidental Benefit Rider Rs. 0.00
Service Tax/GST Rs. 0.00
Add Cess/Edu Cess Rs. 0.00 Critical Illness Rider Rs. 0.00
Surcharge Rs. 0.00 Waiver of Premium Rs. 0.00
Total Installment Premium Rs. 143541.08 Term Rider Rs. 0.00
Total Amount Paid Rs. 0.00 Serious Illness Rider Rs. 0.00
Balance Held in Deposit Rs. 0.00
*Service tax/GST & other applicable surcharges.
Next Due Date : 15 Nov 2021
For any query/clarification, please call us at 1-800-425-6969 (Toll free from all landline and mobile) or email us
at indiaservice@pnbmetlife.co.in or visit any of your nearest PNB MetLife office.

You can also get your policy information by logging to www.pnbmetlife.com with your client id as mentioned
above.

Yours Sincerely,
PNB MetLife India Insurance Co. Ltd.
Please Note:
(1) Premiums paid to effect or keep in force a life insurance policy will be eligible for deduction, either fully or partly, under Sec. 80C of the Income Tax Act, 1961, subject
to the conditions as contained therein. (2) Premiums paid towards Health Premium, Critical Illness Rider, Waiver of Premium Rider and Disability Benefit Rider are eligible
for a deduction under Section 80 D of the Income Tax Act, 1961, subject to conditions contained therein.

This is a computer generated letter/ statement and does not require a signature.

PNB MetLife India Insurance Co. Ltd.,

Unit No. 701, 702 & 703, 7th Floor, West Wing, Raheja Towers, 26/27 M G Road, Bangalore - 560001,
Karnataka. IRDA of India Registration number 117, CI No.: U66010KA2001PLC028883. Call us Toll-free at 1-800-425 6969,
Website: www.pnbmetlife.com, Email: indiaservice@pnbmetlife.co.in or write to us on: PNB MetLife India Insurance Co. Ltd., 1st
Floor, Techniplex -1, Techniplex Complex, Off Veer Savarkar Flyover,Goregaon (West), Mumbai- 400062,Maharashtra
Phone: +91-22-41790000, Fax: +91-22-41790203