Annexure Il eclaration of continued Non-Resident Status for Exemption from GST to NRUENIO/OC! (to be submitted in Cash Section} ] are Country of Residence | Name ofthe Policyholder | Status (NRI/ FNIO/ Oct) | ae ee | Policy Numbers = > — ~ | i at I [eal res | Bank Account Details (from which Premium will be pald) | Bank ame | cee oat pet. NRE Ineeaal : | Aecount No [use | \ undertake that, as on date, ._/__/____, Ihold the status of NRVFNIO/OCI and am a resident of (country of residence). | wish to avail GST exemption on Renewal Premium Payment, and | shall inform Life insurance Corporation of India about the change in my residential status from NRVFNIO/OCI to Resident Incian, i any. | will be responsible to indemnify Life Insurance Corporation of India in case of any loss that may arise in relation to the above. Kindly grant me exemption from GST as per Section 2(6) of IGST Amendment Act, 2018 for Export of Services. Signature a Name Date E-Mail 1D Mobile Number _