Premium Paid Certificate

Policy Number:- 24669577

Í8bÃrÈPPC_LET_01TÎ MAR 3 2024
Mr. Ghulam Mohi U Din Hajam
S/O Mohammad Akbar Hajam
Dilna, Baramulla,Delina
Jammu and Kashmir
193103

Dear Mr. GHULAM MOHI U DIN HAJAM, (Client Id: 59910246 )

Subject: Premium Paid Certificate from 05-01-2023 To 15-02-2024
We thank you for giving us an opportunity to serve you.
This is to certify that we have received the following premium amount in the financial year 2023-2024 against
your Life Insurance Policy with PNB MetLife India Insurance Co. Ltd.
Policy Number 24669577 Plan Pnb MetLife Guar.Futu.Endow plan
Policy Owner Mr. GHULAM HAJAM Sum Assured 370067.00
Life Assured Mr. GHULAM HAJAM Effective Date 05 JAN 2023
Premium Details Mode Annual
Base Premium Rs. 28380.00 Coverage Details
Accidental Benefit Rider Rs. 0.00
Service Tax/GST Rs. 1620.00
Add Cess/Edu Cess Rs. 0.00 Critical Illness Rider Rs. 0.00
Surcharge Rs. 0.00 Waiver of Premium Rs. 0.00
Total Installment Premium Rs. 30000.00 Term Rider Rs. 0.00
Total Amount Paid Rs. 30000.00 Serious Illness Rider Rs. 0.00
Balance Held in Deposit Rs. 30000.00
*Service tax/GST & other applicable surcharges.
Next Due Date : 06 MAR 2024
For any query/clarification, please call us at 1-800-425-6969 (Toll free from all landline and mobile) or email us
at indiaservice@pnbmetlife.co.in or visit any of your nearest PNB MetLife office.

You can also get your policy information by logging to www.pnbmetlife.com with your client id as mentioned
above.

Yours Sincerely,
PNB MetLife India Insurance Co. Ltd.
Please Note:
(1) Premiums paid to effect or keep in force a life insurance policy will be eligible for deduction, either fully or partly, under Sec. 80C of the Income Tax Act, 1961, subject
to the conditions as contained therein. (2) Premiums paid towards Dental Plan, Health Premium, Critical Illness Rider, Waiver of Premium Rider and Disability Benefit
Rider are eligible for a deduction under Section 80 D of the Income Tax Act, 1961, subject to conditions contained therein.

This is a computer generated letter/ statement and does not require a signature.

PNB MetLife India Insurance Co. Ltd.,

Unit No. 701, 702 & 703, 7th Floor, West Wing, Raheja Towers, 26/27 M G Road, Bangalore - 560001,
Karnataka. IRDA of India Registration number 117, CI No.: U66010KA2001PLC028883. Call us Toll-free at 1-800-425 6969,
Website: www.pnbmetlife.com, Email: indiaservice@pnbmetlife.co.in or write to us on: PNB MetLife India Insurance Co. Ltd., 1st
Floor, Techniplex -1, Techniplex Complex, Off Veer Savarkar Flyover,Goregaon (West), Mumbai- 400062,Maharashtra
Phone: +91-22-41790000, Fax: +91-22-41790203