Policy Summary Statement

Policy Information:

Policy Number : 04225107 Policy Status : In Force

Name of the Life Assured : SATYAPRAKASH Name of Policy Owner : SATYAPRAKASH TRIPATHY
TRIPATHY
Sum Assured : `500,000.00 Installment Premium : `10,440.75
Policy Term : 20 years Premium Paying Term : 20 years
Premium Mode : Annual Mode of Payment : Cash/Cheque
Commencement date : 21/04/2020 Date of Maturity : 21/04/2040
Premium Due Amount : `10,440.75 Next Premium Due Date : 21/04/2024
Bonus, Guaranteed Additions : NA Fund Value for ULIP only : NA
(If any) (as on 18/03/2024)

Paid up addition : Paid-up Additions

(If any) Available (as on :
18/03/2024)

Plan Name : HDFC Life Term With Return of Premium ( UIN: 101N163V01 )

Nominee Details:

Sl No Name of the Nominee Relation to Life Assured Share (%)

1 ANITA MISHRA Wife 100.00

Other Details:

Agent Name : Susanta Kumar Behera Agent Contact No : 8260030826

Registered Bank Account Details:

For Policy Payouts For Payment of Premium ( ECS Registered Account )
Bank Name : UCO BANK UCO Bank Name : NA

Bank A/c No. : XXXXXXXXX5224 Bank A/c No. : NA

Personal Information:

Contact Number : XXXXXX2081 Communication Address:

Mr.SATYAPRAKASH TRIPATHY,SANTOSH KUMAR
Email Id : XXXXXXa050@gmail.com
TRIPATHY,AMALAPADA,GANDHI MARG
ROAD,Angul,759125

Call : 022-68446530 (Call charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.

 IMPORTANT:
To stay connected and receive important updates on your policy, ensure your Mobile Number, Email ID and Bank Details
are updated in our records. To update your details, pay policy premiums or for other policy service options, you may
walk-in to your nearest HDFC Life branch office or use our digital service options at hdfclife.com

This is a system generated letter and requires no signature Date of generation : 19/03/2024

"Please note, that with effect from 15th Oct 2022, Exide Life Insurance Company Limited has merged into HDFC Life
Insurance Company Limited and the merged entity is known as HDFC Life Insurance Company Limited ("HDFC Life")"

Call : 022-68446530 (Call charges apply) Email : service@hdfclife.com Visit : hdfclife.com

Registered Office: Lodha Excelus, 13 Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai 400 011 Tel No : (022) 67516666
th

IRDAI Registration No. 101 CIN: L65110MH2000PLC128245.