ONLINE PAYMENT ACKNOWLEDGEMENT

Sachinan Shahi
SHIVPURI LANENO 2 NEAR 3
TOWERSDAMUCHOWK MUSAHRI

Dear Sachinan Shahi

We acknowledge the receipt of payment towards premium for your policy no.503-5635829 on 27/10/2022
with following details:

Transaction ID XHD50837394398 Method Online Payment

Plan Details Bharti AXA Life Flexi Term Pro Mode Monthly

Due Date 31/10/2022 Amount Rs. 1984.74

Note:
1. Income tax benefits are as per Income Tax Act, 1961 and are subjectto conditions mentioned therein and
amendments made thereto from time to time.
2. In case of premium/s paid towards reinstatement of a policy,the cover shall commence from the date of
acceptance of risk by the Company.
3. For premiums received till 3pm for Unit Linked Policies, NAV of the same day would be applicable and for
payments received after 3 p.m. NAV applicable shall be of next working day. In case payment is made on a
non-working day, then NAV of the next working day would be applicable.
4. In case of premium received in advance, then premium would be applied to the policy only on the due date
of the policy.

THIS IS A COMPUTER GENERATED STATEMENT AND DOES NOT REQUIRE A SIGNATURE.

Insurance is the subject matter of the solicitation.

Bharti AXA Life Insurance Co. Ltd.

Registration No: 130.
Registered Office:
Unit No. 1904, 19th Floor, Parinee Crescenzo, G Block, Bandra Kurla Complex
BKC Road, Behind MCA Ground, Bandra East,Mumbai-400051