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PREMIUM PAYMENT ACKNOWLEDGEMENT

Acknowledgement No.:1107304847 Date:20/03/2023

Personal Details
Policy No. 0534731896

Policy Holders Name MR RAJAN SINGH

E-mail rajansingh790@gmail.com Contact No. 9041214730

Policy Details
Plan Name BAJAJ ALLIANZ LIFE ETOUCH-116N171V01

Life Insured MR RAJAN SINGH

Sum Assured 10,000,000 Policy Commencement Date 14/11/2022

Policy Term 40 Years Premium Payment Term 10 Years

Premium Due Date 14/03/2023 Premium Payment Frequency Monthly

Premium Received 2,182 Payment Mode Autopayment

Amount in Words Rupees Two Thousand One Hundred Eighty Two Only

Agent Code 3WA0000009 Agent Name POLICYBAZAAR INSURANCE BROKERS

This is system generated acknowledgement hence requires no signature.

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