Renewal Premium Receipt - NON ULIP

Receipt No : 00-11141/I00034959808 Receipt Date : 30-10-2022

Mr. Mahesh Kasli Branch Details: GULBARGA
SANJEEVA REDDY BUILDING
LINGASGURSINDHANUR ROAD, MASKI
TQ LINGASUGUR, KARNATAKA
RAICHUR
KARNATAKA
Please note that your servicing branch has shifted. The new address of your servicing branch is given above.
You may approach either your servicing branch or any of our other branches for all your servicing needs and premium payment.
Life Assured : Mr. Mahesh Kasli
Assignee : N.A.

Policy Details
UIN: 111N104V02 Policy Number: 1Z772212706
Plan: SBIL - Smart Swadhan Plus - RP and LP II Date of Commencement: 08-10-2020
Premium Frequency: Annual Channel: Bancassurance
Policy Term: 10 Distributor Name: Mr. Shouvik Mandal
Premium Payment Term: 5 Channel Code: 990905305
Sum Assured: 1300000.00 Payment Type: Renewal

Premium Details
Base Amount(Rs.) CGST(Rs.) SGST/UGST(Rs.) IGST(Rs.) Total Amount(Rs.)
Premium(Rs.) 19513.00 219.52 219.52 0.00 19952.04
Late Fees#(Rs.) 0.00
Previous Excess(Rs.) 0.00
Total Amt Payable(Rs.) 19952.04
Amount Received(Rs.) 19952.00
Current -0.04
Excess/Shortage(Rs.)

Received with Thanks Rs.19952.00/- (Nineteen Thousand Nine Hundred Fifty Two Only.) by way of BBPSCSC

Next Premium Due Date : 08/10/2023

Authorized Signatory

Notes:
- #-Late fees is inclusive of GST if applicable.
- The validity of this receipt is subject to realization of cheque. The amount held in policy deposit does not earn any interest.
- In case of outstation cheques,allocation amount will be done on the date of adjustment of premiums or the realizatin of cheque whichver is later.
- GST Registration Number 29AAFCS2530P1ZX. HSN Code & Description: 997132 & Life Insurance Services
- 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. Please refer SBI Life website for deails.
- 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.
- Consolidated Stamp duty paid vide Mudrank receipt no CSD/425/2022/3416 03-08-2022

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, Website - www.sbilife.co.in & Email at info@sbilife.co.in
Toll free no. : 1800 267 9090 (Customer Service Timings: 9:00 a.m. to 9:00 p.m.)