Dec 31, 2023

Ankit Ranjan

DEORIA KHAS,WARD NO.-13

NEAR JUNIOR HIGH SCHOOL
274001
Uttar Pradesh
India

RENEWAL PREMIUM RECEIPT FOR December 31, 2023

Branch Gurgaon 1 Unit Manager Code

Agent Code 60150001 Date Dec 31, 2023

Payment received from Ankit Ranjan on Dec 31, 2023

Name of Life Assured: Ankit Ranjan

POLICY DETAILS

Policy No 10189187 Risk Commencement Date 19-Dec-2019

Product Name Aviva Health Secure UIN 122N095V07

Client ID 43659765 Next Premium Due On 19-DEC-2024

Frequency Annual Premium Mode Direct Billing (Cash/CHQ/DD)

Premium Recieved (in words) ** Rupees Twenty Four Thousand Two Hundred Twenty-Six only.

Premium Recieved (in figure) ** 24226

Eligible for benifits as applicable under the prevailing Income Tax Act, 1961

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*The fund value has been rounded off to nearest rupee.

**Premium is inclusive of taxes as applicable.

Information on NAV is published daily on our website www.avivaindia.com and in leading financial newspapers.
As per IRDA Guidelines, the Renewal premium is adjusted on the due date even if it has been received in advance. For
payments other than cash, this acknowledgement is subject to realization of the instrument.

Important Notes:
1. Tax benefits are available under section 10(10D) and section 80C of the Income Tax Act 1961, as amended from time to time.
2. As per section 10(10A(ii)(a)) of the Income Tax Act 1961 : The Commuted value of any deferred annuity pension shall be tax ex empt.
Currently, the maximum commuted value permissible is one third of the maturity value.
3. Tax benefits are liable to change due to change in legislation or government notification. Aviva does not give any warranties on the
benefits available under the Income Tax Act, 1961, may be inforce currently or as amended.
4. Please note maturity proceeds under this plan would not be available for encashment in lumpsum - while there is an option to encash upto a
maximum of 1/3rd of the proceedings, balance uncommuted values has to be essentially utilised to purchase annuity from Aviva or any other Life
Insurance Company.

This is a computer generated statement, hence does not require signature