01-Sep-2022

Contact No:

Policy number : - Premium paid certificate for FY

This is to verify that Edelweiss Tokio Life Insurance Company Ltd has received the life insurance premium for the following policy held by
during financial year .

POLICY DETAILS
Policy Number Policy status

Plan Name Issue Date 31-Dec--4714

Premium Paying Term Sum Assured

Mode of Payment Default Modal Premium

PREMIUM PAID DETAILS

Product / Rider name Premium Amount GST + Cess (if any) Total premium paid Tax benefit*
In ₹ (A) in ₹ (B) in ₹ C = (A) + (B) u/s

In ₹ 0.00
#Total amount paid during the financial year
Zero Only

Reinstatement fees In ₹ 0.00

GST on Reinstatement fees In ₹ 0.00

Note:
• Tax benefit on premium paid would be available as per the prevailing Income Tax Law, subject to fulfilment of conditions stipulated therein
◦ Life policy, Riders and Immediate annuity products will be available u/s 80C,
◦ Pension policy will be available u/s 80CCC and
◦ Health policy /health riders will be available u/s 80D. Benefit u/s 80D shall not be available in case
the premium for health policy/ health riders is discharged in cash mode.
• The policy holder shall bear all taxes (including GST), surcharges, cess or levies as per prevailing laws
and regulations, applicable from time to time.
• Please consult your tax consultant to know the tax benefits available to you.
• # Subject to realisation of payment received

This is computer generated statement and therefore does not require signature.
Edelweiss Tokio Life Insurance Company Limited
CIN: U66010MH2009PLC197336
Registered & Corporate Office: 6th Floor, Tower 3, Wing ‘B’, Kohinoor City, Kirol Road, Kurla (W), Mumbai 400070
Toll Free No.: 1800 212 1212 | Board Line: +91 22 4088 6015 | Fax No.: +91 22 6117 7833
Email: care@edelweisstokio.in | www.edelweisstokio.in