18-05-2023

Consolidated Receipt Statement

Mr Debashis Roy
45/12 Mohendra Banerjee Road,
Parnasree Pally

Kolkata - 700060

Dear Debashis Roy,

Greetings from HDFC Life!

This is to certify that the following renewal premium payments have been made towards your HDFC Life Policy No.
02457968 for the financial year 2023-2024.

Receipt No. Receipt Date Receipt Amount (`)

98632196 17 May 2023 17891.41

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

"Please note, that with effect from 15th Oct 2022, Exide Life Insurance Company Limited has merged into HDFC Life
Insurance Company Limited and the merged entity is known as HDFC Life Insurance Company Limited ("HDFC Life")"

IMPORTANT
To stay connected and receive important updates on your policy, ensure your mobile number, email id and bank account
details are updated in our records. To update your details you may walk-in to your nearest HDFC Life branch office or
update online through our website hdfclife.com

• Premium paid in advance would be held in deposit without interest, the premium will be adjusted to the policy on the due date. • Tax benefits
on insurance premium are as per prevailing income tax laws and are subject to amendments made thereto from time to time. • Goods and
Services Tax (GST) and applicable taxes/ cess will be charged as notified by the Government of India from time to time. • For Unit Linked
Policies, GST or any other applicable taxes / Cess will be deducted through cancellation of units as per prevailing laws and regulations. • If the
payment has been made by cheques, ECS, Standing Instructions, the continuation of cover under this policy and the validity of this receipt is
subject to realization of the payment.

As per Government of India directive, if you are holding single or multiple policies where your aggregate premium payment for the financial year
is Rs. 50,000 or above, please submit PAN card or form 60 / form 61 as applicable. Please ignore if you have already submitted the
documents.

Call : 1860-267-9999 (Local Charges Apply); 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.