RENEWAL PREMIUM PAYMENT ACKNOWLEDGEMENT

N GANESA MOORTHY
4/1354
SIVAN ARUL ILLAM
THIRUVALLUVAR COLONY NEAR TANTEX MAHINDRA 61

Thanjavur 613005
Tamil Nadu

Dear N GANESA MOORTHY

We acknowledge the receipt of payment towards premium for your policy no. 500-4625843 on 10/06/2020 with following details:

Transaction ID : SSBI8883798828 Method : Online Payment

Plan Details : Bright Stars Mode : SEMI ANNUAL
Due date : 09/06/2020 Amount ( ): 10000.00

Note:

1. Income tax benefits are as per Income Tax Act, 1961 and are subject to 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 dated 14/07/2006 [Life Insurance Business]
CIN - U66010MH2005PLC157108 (ADVT II-Jun-2017-1534)
Registered Office:
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: Bharti AXA Life Insurance Company Limited, Spectrum tower
3rd Floor, Malad link road, Malad (west), Mumbai 400064. Maharashtra