Policy No : 12512675

Name : MR PRAMOD BABULAL AGARWAL

Address : 4TH FLOOR B/31 AAKURTI Policy / Application No.:

APARTMENT ANAND NAGAR 12512675

DAHISAR
MUMBAI
MAHARASHTRA Application Inward Date:
400068 22/09/2021
Customer Contact No. : 9967004971
Advisor Code : 20283072
Advisor Name : Kishanlal More
Advisor Contact No. :

SM Code : 013380

Subject: We have received your premium

Dear MR PRAMOD BABULAL AGARWAL,

We hereby confirm the receipt of the premium payment towards your life insurance policy with us, through online payment. We
congratulate you for ensuring your family¶s continued security and peace of mind.

Received amount : 10000

Amount in words : Ten Thousand Rupees Only

Paid by : Cheque/DD/Credit Card No.: 10124603 Date: 22/09/2021 Drawn on: RNEW

Consolidated revenue stamp duty paid : Mudrank No. 2016/1112/CR. 314/M-1 dtd 10.05.2016

Terms & Conditions

1. You are eligible for income tax benefits under section 80C/80CCC(1)/80D and 10(10D), as applicable. Conditions apply.
2. Kindly consult a tax expert to understand income tax applicable on various financial aspects
3. Goods & Services Tax under relevant laws shall be charged.
4. This is system generated receipt, hence does not require signature.
5. Goods & Services Tax are levied at the applicable Tax rates in accordance with the prevailing Tax Laws, from time to time.
6. For ULIP products, in respect of premium received up to 3 pm by the Company, the closing NAV of the business day on which premium is
received shall be applicable. In respect of premium received after 3 pm by the insurer the closing NAV of the next business day shall be
applicable.
7. Premium paid in advance will be applied to the policy on premium due date only.

Please note that with effect from 1 July 2017 (proposed date) or any other notified date, GST may be applicable on the premium due / collected at the prescribed
rates. The differential tax liability, if any, on account of GST shall be borne by the policyholders and Company reserves the right to adjust / recover the same
separately As per the relevant terms and conditions stipulated in the policy document agreed with you.

Reliance Nippon Life Insurance Company Limited. Formerly known as Reliance Life Insurance Company Limited. IRDAI Registration No. 121.
Registered Office: H Block, 1st Floor, Dhirubhai Ambani KnowledgeCity, Navi Mumbai, Maharashtra 400710, India.
Corporate Office: Reliance Nippon Life Insurance Company Limited, Reliance Centre, Off Western Express Highway, Santacruz East, Mumbai 400 055. Call
Center: 30338181 or 1800-3000-8181 (9 AM to 6 PM between Monday and Saturday) Email: rnlife.customerservice@relianceada.com
Website: www.reliancenipponlife.com
CIN:U66010MH2001PLC167089 Instant payment receipt A4/Version 1/ March 2017