20-12-2022

Mr Alok Kumar Behera

Qtr No D/29
Sector 7
Rourkela
Sundergarh 769003
Sundergarh, ODISHA

Premium Paid Certificate for the Financial Year 2022-2023

Dear Alok Kumar Behera,

Greetings from HDFC Life!

This is to certify that the following premium payments have been made towards your HDFC Life Policy(s) for the financial
year 2022-2023.

Plan Name Policy Payer Name Frequency Sum Premium Top Up Tax
UIN No Number Assured Paid (`) Eligibility
(`) (`) (`)
Hdfc Life Smart Term Mr Alok Kumar
Plan - Comprehensive 03834516 Behera
01 10000000 26,999.18 0 26,999.18
114N083V01
Total Premium Paid: ` 14,050.18
Details of the amount eligible for benefits under Income Tax Act are as below
Amount Eligible for Tax Exemption u/s 80C/80CCC : ` 0.00
Amount Eligible for Tax Exemption u/s 80D : ` 26,999.18

1.Goods and Services Tax (GST) and applicable taxes/ cess will be charged as notified by the Government of India from
time to time.

2.For Unit Linked Policies, GST or any other applicable taxes/ cess will be deducted through cancellation of units as per
prevailing laws and regulations.

Please get in touch with us for any further assistance.

We hope to serve you again.

Yours sincerely,

Customer Services
HDFC Life
This is a system generated letter, hence requires no signature

Call : 1860-267-9999 (TOLL FREE); 022-68446530 (Std Charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.