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Date: 04/04/2022

RENEWAL PREMIUM NOTICE - NON-ULIP


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Your Premium of ` 1036.95/- is due on 19/04/2022 Z'Gi5+2b=_eO]x%_K_@9p-99Fy(WP


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If the premium has been paid, please ignore this intimation.
Policy Details
Policyholder Mr. Antony Samy J Policy No. 1P488628510
Assignee NA Channel Agency
Distributor Mr. Antony Samy Distributor Code 991372217
Plan SBIL - Smart Champ Insurance - LP Series 3 Unique Identification Number 111N098V01
Frequency Monthly Date Of Commencement 19-07-2021

Premium Details
GST (`)
Premium Due Date Premium Amount (`) if applicable
(-)Previous Excess/(+)Shortage (`) Net Amount Payable (`)

19/04/2022 992.29 44.66 1036.95


19/05/2022 992.29 44.66 0.00 1036.95
19/06/2022 992.29 44.66 1036.95

Bonus Details*
Bonus Upto (`) Bonus Declared (%) Bonus Amount (`) Bonus Upto (`)
NA NA NA NA
NA NA NA NA
* Bonus will get accrued as per the terms and conditions under the policy. Accrual of Bonus amount is subject to payment of all premiums due in the
relevant policy year and shall be paid along with Surrender/ Maturity/Death claim.

UPDATE PAN BY SENDING SMS UPDATE E-MAIL ID BY SENDING SMS


PAN<< space >> (Policy Number)<< space>>
MY-EMAIL << space >> (Policy Number) << space >>
<< PAN number >>to 56161 or 9250001848 through << New Email id >> to 56161 or 9250001848
registered mobile number. through registered mobile number.

Renew Your Policy Conveniently Now!


Easy
Access

13622/21721/ROS
Swipe card debit/credit card and Register for auto debit by visiting "SBI Life Visit www.sbilife.co.in and pay Download our mobile app
pay your premium at select SBI mypolicy self service portal" under services tab premium online at "Online premium "Easy Access" to pay your
Life branches and click on "Easy Renewal payment options payment under services tab premium

Notes:-
l Please issue cheque/draft in favour of SBI Life Insurance Company Limited Policy Number 1P488628510. Grace period is 15 days from your premium due date
l Non receipt of premium intimation cannot be cited as a reason for non payment of premium
l GST Registration Number 34AAFCS2530P1Z6 . HSN Code & Description - 997132 & Life Insurance Services.
l SBI Life branches and its sales team are not authorized to collect cash.
l In case of revival of the policy, the risk cover under the base policy and the rider covers, if any, will recommence from the date of revival. Any contingencies which
may have happened while the policy was lapsed will NOT be covered even if the claim is made or intimated after the policy has been revived.
l As per GOI notification, GST has been levied on your insurance policy @ 18% on premium or charges. (or as applicable) w.e.f 01.07.2017. In the case of
endowment policy, the taxable value is 25% of the premium for first year and 12.5% for second & subsequent year. For single premium annuity policy, the taxable
value is 10% of the premium. Please refer SBI Life website for details.
l This is a system generated letter. Hence does not require a signature.
l POLICIES WHICH LAPSE WITHOUT PAYMENT OF MINIMUM STIPULATED PREMIUMS WILL NOT ACQUIRE ANY SURRENDER VALUE AND PREMIUMS PAID WILL GET
FORFEITED. PLEASE REFER TO THE POLICY TERMS AND CONDITIONS FOR DETAILS.

Please note that some of our branches have shifted. The address of your servicing branch is given below. You may approach either your servicing
branch or any of our other branches for all your servicing needs and premium payment.

NEW SERVICING BRANCH ADDRESS : SBI LIFE INSURANCE CO LTD Bayshore Plaza, 3rd &amp; 4th Floor, No. 31, Mission Street, Puducherry District, -

SBI Life Insurance Company Limited


IRDAI Regn No. 111. CIN: L99999MH2000PLC129113.
Central processing Centre, 7th Level(D Wing) & 8th Level, Seawoods Grand Central, Tower 2 Plot No R-1, Sector 40, Seawoods, Nerul Node, Navi Mumbai-400706
Dist:Thane, Maharashtra

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