ageasFEDERAL

LIFE INSURANCE

February 18, 2021

Mrs Shwetha R
NO.14,SRI RANGA NILAYA
4TH CROSS, LAKESHORE GARDEN
THINDLU,vIDYARANYAPURA
BANGALORE 560097
Karnataka
Tel No: 9591708288
Loan number:0243675100053792
Certificate No: 4001432582

Dear Mrs Shwetha R,

Thank you for choosing Ageas Federal as your life insurance partner. On behalf of Ageas Federal, please allow us to
extend a warm welcome to you.

All the relevant details of your insurance cover are mentioned in certificate of insurance (CO1) attached with this letter.
Please read the contents of this COl carefully to ensure that the benefits, terms and conditions and premium detalsfor
the insurance cover provided to you are accurate. We would also recommend that you ensure the safe storage or your
COI.

You have opted for a cover term of 15 years. The insurance cover is available for the entire cover term.

This cover has been issued on the basis of the medical statement, habits and lifestyle details confirmed by you in the
member enrolment form/Declaration of good health and the reports of your medical tests undertaken for the cover,. as
applicable.

If you need any assistance for policy servicing and claim related queries, please feel free to contact us on below
mentioned contact details.

Afree-look period of 15 days from the date of receipt of the certificate of insurance is provided to you to reviewthe terms
and conditions. In case you do not agree with any of the terms and conditions, you will have the option to return the
certificate of insurance to us for cancellation by communicating the same in writing stating the reasons for objections
along with original copy of certificate of insurance, either directly or through the master policyholder. The premium shall
refunded after deduction of stamp duty, medical expenses and proportionate risk premium for the period of cover. All the
benefits under the cover will stand extinguished immediately on the cancellation of the certificate of insurance under the
free look.

We have the following as your contact details.

Mobile number: 9591708288, Email id :SHWETHU1414@GMAIL COM
Thank you again for joining the Ageas Federal family. We look forward to a long and fruitful association with you.

Yours sincerely,

Khah
Vighnesh Shahane
Managing Director and CEO

Ageas Federal Life Insurance Company Limited (Fomerly known as IDBI Federal Life Insurance Co. Ltd)
IRDAI Regn. No. 135 | Corporate ldentity Number (CIN) - U66010MH200ZPLC167164
Registered Office: 22nd Floor, A Wing, Marathon Futurex, N M Joshi Marg, Lower Parel (East), Mumbai 400013, Maharashtra

cOI No: 4001432582 cOIMLv1.00 Page 1 of 20

 ageasFEDERAL
LIFE INSURANCE

PREMIUM RECEIPT
Name of the insured member Client ID

Mrs Shwetha R 1001404226

Certificate number
4001432582

Premium Payment Details

Plan namne Ageas Federal Life Insurance Group Loan Secure Plan

Name of the master policy holder IDBI BANK LTD.

Insured member: Mrs Shwetha

Date of birth of insured member: September 10, 1984

Joint insured member(if applicable): Not Applicable

Death sum assured: Rs 3033842.4

Cover term: 15 years

Premium payment term: Single

Premium paid: (a) Rs 29003.53
(excluding Goods and Service Tax )

Goods and Service tax: (applicable) (b) Rs 5220.64

Total premium paid: (a +b) Rs 34224.17

(including Goods and Service Tax and other

1. The insurance cover under the policy is subject to realisation of premium payment cheque.
2. If the cheque bounces due to any reason:
a) Premium payment receipt shall be void;
b) this policy will be cancelled without any intimation.

You get tax deductions for the premiums paid under Section 80C of the Income Tax Act, 1961. Please note that the Tax Benefits
are as per the Income Tax Act, 1961 and are subject to changes in tax laws from time to time. Ageas FederalLife Insurance
Company Ltd. does not assume responsibity on tax implication. Please consult your own tax consultant to know the tax benefits
available to you.

This is a computer generated receipt and does not require a signature.

Consolidated Revenue Stamp Duty paid under Notification No CSD/253/2019/6087/19 Dated Dec 18, 2019 Deface
No.0004917536201920 Mudrank dated Dec 17, 2019.

For any assistance, complaints or queries, please call our toll free number 1800-209-0502 (From Monday to
Saturday, 8 am to 8 pm) or email us at support@ageasfederal.com.

Ageas Federal Life Insurance Company Limited (Fomerly knownas IDBIFederalLifeInsurance Co. Ltd)
IRDAI Regn. No. 135 | Corporate ldentity Number (CIN)- U66010MH2007PLC167164
Registered Office: Wing, Marathon Futurex, N M Joshi Marg, Lower Parel (East), Mumbai 400013, Maharashtra
22nd Floar, A
Page 3 of 20
COI No: 4001432582 PRv1.0
 ageasFEDERAL
LIFE INSURANCE

CERTIFICATE OF INSURANCE
Ageas Federal Life Insurance
A non inked, non participating Group Credit Life Insurance PlanGroup
Loan Secure Plan
4RDAl product unique identification number 135N051
Personal details of insured member
Name: Mrs Shwetha R
Age at cover start date:
Client ID Not Applicable
36 years
|Age venified: Yes Date of birth: September 10, 1984
Name of the borrower (in case of minor insured member): INot applicable
Insured person's address: NO.14,SRI RANGA NILAY 4TH CROSS,LAKESHORE GARDEN, THINDLU,VIDYARANYAPURA, BANGALORE,
aFNAtaKa-550007
In case of jointlife
Name Not Applicable Client ID: 1001404226
Age at cover start date:
Not Applicable Age verified: Not applicable |Date ofbirth: Not Applicable
Cover details
|Master policyholder: IDBI Bank Limited
Cover option: Reducing death benefit option
|A
Master policy number. 2000000259
Cover benefit Single life cover
| Share of cover (in case of proportionate cover): Not applicable
Certificate no: 4001432582 Cover start date: February 18, 2021
Cover term: 15 years Cover expiry date: February 17, 2036

Moratorium period O years Total Cover Term (including 15 years

|(if applicable): moratorium period)
Premium details
Premium mode: Single GOods and Service Tax: 5220.64
Premium 29003.53 Premium including Goods and Service Tax 34224.17
Benefit details
Initial sum assured/sum assured: Rs 3033842.4 Benefit schedule interest rate 7
7 . 6
70

Nominee details (including under Section 39 of the Insurance Act, 1938)

Name Date of birth Relationship with the insured person Percentage share
Mr KR Ranganna June 1, 1956 Father 100%
APPOINTEE DETAILS(Only incase when Nominee is Minor)
Name Date of birth Age Relationship with the Nominee

Not available Not available Not available Not available

Associated loan details

|Loan account no.: 0243675100053792 Loan term 15years
Special provisions
Premium loading: Not Applicable
Additional exclusions: Not applicable
Importantinformation
This certificate ofinsurance describes the premiums, benefts and Your plan is govemed only bythe ful legal terms, conditions and
conditions which apply to your cover under the Ageas Federalexclusions contained in themaster policy and in case of any
Loansurance Group Insurance Plan SP master policy issued to IDBI |discrepancy between this cerificate of insurance and the master
Bank Limited
policy; the provisions of the master policy shall apply.

You can obtain a copy of the master policy from the master You are responsible to pay the premiums for your cover and if you do
not, the coverwilllapse.
policyholder.
The master policyholder The insurer-Ageas Federal
How to contact us
the master policyholder or
IDBI Bank Limited |Ageas Federal Life Insurance Company Limited
Please contact IDBI Towers,
(Formerly known as /DBI Federal Lite Insurance Co. LId)
Ageas Federal: 22nd Floor,A Wing,Marathon Futurex, N M Joshi
to pay your premiumn |WTC Complex, Marg, Lower Parel (East), Mumbai 400013,
Cuffe Parade
to make a claim Maharashtra
to ask any questions or for any other
matter
Mumbai 400045 Tol free: 1800 209 0502 (From Monday to Saturday,
8 am to 8 pm)
Maharashtra
This-deeumentie-digitety-ergAe
2. If the cheque bounces due to any reason:
1. The insurance cover policy is subject to realisation of premium payment cheque.
under the
intimation.
receipt shall be void; b) this policy will be canceled without any
a) Premium payment Signer: DIPEN V MARU
Date: Saturday, 20 February, 2021 1:50 PM
Location: Mumbai
|Date of issue: February 18, 2021 Place: Mumbai Reason:
For & on behalf of Ageas Federal Life Insurance Co Ld

COI No: 4001432582