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Renewal Premium Receipt 2016-2017

This document is a renewal premium receipt for Mr. Sudhir Barwal's life insurance policy. It provides details of the payment including the receipt date, number, policy number, product name, premium amount paid, applicable taxes, and balance in deposit. It also encourages setting up standing instructions to pay premiums automatically through credit card to save time and avoid late charges.

Uploaded by

Sudhir Barwal
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76 views1 page

Renewal Premium Receipt 2016-2017

This document is a renewal premium receipt for Mr. Sudhir Barwal's life insurance policy. It provides details of the payment including the receipt date, number, policy number, product name, premium amount paid, applicable taxes, and balance in deposit. It also encourages setting up standing instructions to pay premiums automatically through credit card to save time and avoid late charges.

Uploaded by

Sudhir Barwal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

RENEWAL PREMIUM RECEIPT

Mr. Sudhir Barwal


126/5 CH Type
Sector 20 Pay Premiums Automatically
.. Set up Standing Instruction (SI) using
your credit card while paying your premium
.. online.
Gandhinagar
Gujarat Save Time

Avoid Late Charges


382020
Its Free, No Documentation
Required

Visit www.iciciprulife.com/si to set up


Standing Instructions now!

From 07/01/2016 to 07/01/2017

Receipt Receipt Policy UIN# Product Name / Riders Premium Service Tax* Education Reinstatement Balance in
Date Number Number Amount Rs. Cess* Amount Deposit**
Rs. Rs. Rs.
Rs.

28/01/2016 99542271 01269707 105L032V01 LifeTime Pension II 10000.00 0.00

TOTAL 10000 0.00

CONSOLIDATED REVENUE STAMP DUTY PAID : NOTIFICATION NO - MUDRANK 0715/0000425968201516/CR-322/M1-05/05/2015


# UIN-Unique Identification NO. Specified by IRDAI.
*For Ulip Policies,Service Tax and Education Cess are deducted by way of cancellation of Units.
**The amount indicated as balance in deposit(if any) will be adjusted towards future premium. No interest will be payable on Balance in Deposit

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