Premium Receipt

Receipt No.: 342533627OCT2107 | Receipt Date: 31-OCT-2021

Personal Details
Policy Number: 342533627 Email ID: gunjalpravin2811@gmail.com
Policyholder Name: Mr. Pravin Balasaheb Gunjal PAN Number: CEJPG9888R
Address: E625 LOTUS NANDANVAN PHASE 1 MOSHI PIMPRI CHINCHWAD PUNE MOSHI Customer GSTIN: Not Available
NEAR IRB TOLL PLAZA Current Residential State: Maharashtra
Pune- 412105
Maharashtra
Mobile Number: 9503590571
Policy Details
Plan Name: Max Life Smart Term Plan Policy Commencement Date: 30-SEP-2020
Life Insured: Mr. Pravin Balasaheb Gunjal Policy Term: 50 Years Premium Payment Term: Regular
Premium Payment Frequency: Monthly Date of Maturity: 30-SEP-2070 Modal Premium (incl. GST): ` 586.70
Late Payment Fee (incl GST): ` 0.00 Premium Received (incl. GST): ` 586.70
GST Details Connect for more details
Coverage Taxable SGST/UTGST CGST IGST Name
Type Value (`) Rate Amount (`) Rate Amount (`) Rate Amount (`) Policybazaar Ins Web Aggr Head Office
Base 497.22 NA 0.00 NA 0.00 18% 89.50
Rider 0.00 NA 0.00 NA 0.00 18% 0.00
Late Payment 0.00 NA 0.00 NA 0.00 18% 0.00 Contact Number
Total GST Value: ` 89.50 8826272750
GSTIN: 06AACCM3201E1Z7 GST Regd. State: Haryana SAC CODE: 997132

Total Sum Assured of base

plan and term rider (if any)

31-OCT-2021 to
` 50,00,000.00 ` 586.70 29-NOV-2021 30-NOV-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: 104N113V03
E.&O.E 2021-10-31.03.35.14.280981