PAYMENT ACKNOWLEDGMENT SLIP

Date Tue 24 Oct 2023 Acknowledgement No. 20400262724241023

Bharti AXA Life Guaranteed

Plan Proposal No 5310425381
Wealth Pro

Dear Parmar Deepak,

Thank you for choosing Bharti AXA life as your financial protection partner.

We acknowledge the receipt of Rs. 115999.0 for your proposal no 5310425381.Please find below payment details

Payment made by Payment Mode Payment Date Transaction No. Payment Premium Paid
Frequency (Rs.)
Parmar Deepak Amrut Online 24-10-2023 ZAX61484775990 Annual 115999.0
15:41:21
This is electronically generated and does not require signature.

Yours Sincerely,
Bharti AXA Life Insurance Company Limited

Please Note:
1. This is a payment acknowledgement and not an acceptance of the policy. Policy issuance is subject to underwriting
guidelines & fulfillment of all requirements by you.
2. Tax benefits can be availed under section 80C/80D and section 10(10D) of Income Tax Act, 1961 and are subject to
conditions mentioned there in and amendments made there to from time to time.
3. GST shall be applicable as per prevailing tax laws.
4. If the payment has been made other than in Cash, this receipt is conditional upon realization of the same by the company
5. Life insurance cover shall be effective from date of acceptance of risk
6. Bharti AXA Life Insurance Company Limited CIN - U66010MH2005PLC157108 (ADVT II-Jul-2021-2971)

Bharti AXA Life Insurace Company Limited

(IRDAI Reqd. No. 130), Registered Address: Unit no. 1904, 19th Floor, Parinee Crescenzo, G Block, Bandra Kurla Complex, BKC Road, Behind MCA
Ground, Bandra East, Mumbai 400051, Maharashtra. Service Unit Address: Spectrum Tower, 3rd Floor, Malad Link Road, Malad (West), Mumbai 400064,
Maharashtra