Mr Sachin Shivajirao Patil

Ap Maruti Mandir Samor, Date: December 29.2022

Pundi Tal Palus,
Dist Sangli,
Sangli-416308
Maharashtra
Contact no:9923200278

Premium Paid Certificate for the Financial Year 2022 - 2023

Dear Mr Sachin Shivajirao Patil,

As a valued member of Future Generali India Life Insurance Company, we are pleased to serve you.

This is to certify that we have received the following premium(s) for the financial year 2022 - 2023 from Mr Sachin Shivajirao Patil towards the Life Insurance policies, details of which are given below:

Total Premium Amount Received Premium for CI Rider*/Health(if any) Total Premium Payable in the
Policy Plan Name
(Excluding of CI and Goods and Services (Exclusive of Goods and Services current Financial Year Premium
Next Due Date
Tax) Exemption Under section Tax) Exemption Under section 80D (Exclusive of Goods and Payment Mode
80C/80CCC(1) Services Tax)
01049504 Future Generali Bima Guarantee 11635.00 0 0.00 Annual 30/11/2023

01050442 Future Generali Bima Guarantee 23214.00 0 0.00 Annual 30/11/2023

Total Premium Received for all Policies 34849.00 0

**CI stands for Critical Illness
Exemption for tax deduction under section 80D (4A) is applicable only for the payment methods other than Cash

In case you have chosen to pay your premiums by ECS, then you have the facility to withdraw the ECS option within a period of 15 days prior to due date at no charge.

Should you require any further clarification or assistance, please feel free to contact your Advisor, or get in touch with us at any of the Service touchpoints mentioned below

Assuring you of our best services.

Customer Service
Future Generali India Life Insurance

Operations Hub:Policy Servicing,Future Generali India Life Insurance Co. Ltd, Unit 801 and 802, 8th floor, Tower C, Embassy 247 Park, L.B.S. Marg, Vikhroli (W), Mumbai - 400083.

SAC- 997132 Life Insurance Services (excluding Reinsurance Services)

Terms and Conditions:
n Premium payment(s) exclusive of Goods and Service tax to Future Generali India Life Insurance Company Limited are eligible for tax benefit(s) u/s 80C/80CCC(1)/80D as applicable subject to satisfaction of the conditions
specified under Income Tax Act, 1961
n The TDS u/s 194DA of Income Tax Act, 1961 is applicable if any amount paid/ withdrawn under the policy, if the policy at time of payment falls within the purview of section 194DA. Hence please visit the nearest branch
to update your PAN details, to avoid higher rate of tax i.e. 20% u/s 206AA. If you wish to avail benefit(s) u/s 197(1), 197(1A) & 197A(1C) of Income Tax Act, 1961 then please submit Form 15G or Form 15H
You can also reach us via any of the following modes:

This is a computer generated communication and does not need a signature.

BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS. IRDAI clarifies to the public that: • IRDAI or its officials do not involve in activities like sale of any kind
of insurance or financial products nor invest premiums • IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with
details of phone call, number.

Registered & Corporate Office address: Future Generali India Life Insurance Co. Ltd, Unit 801 and 802, 8th floor, Tower C, Embassy 247 Park, L.B.S. Marg, Vikhroli (W), Mumbai - 400083. Tel.: 91-22-4097 6666 Fax:
91-22-4097 6600. | Email: care@futuregenerali.in | Call us at 1800 102 2355 | Website: www.futuregenerali.in | IRDAI Regn. No. 133 | CIN :U66010MH2006PLC165288