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The document is a renewal premium receipt for a health insurance policy. It provides details of the policy such as the policy number, plan name, due dates, benefits and amounts paid. It also mentions the unique identification number for the policy and notes about tax benefits and service tax applicable.

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Punitha Lawrence
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502 views1 page

Sample

The document is a renewal premium receipt for a health insurance policy. It provides details of the policy such as the policy number, plan name, due dates, benefits and amounts paid. It also mentions the unique identification number for the policy and notes about tax benefits and service tax applicable.

Uploaded by

Punitha Lawrence
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
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Tamil Nadu 600028 ..

papra_2002@yahoo.com
Tamil Nadu 600028 Chennai
05 Jan 2010
RENEWAL PREMIUM RECEIPT Kvb Garden R.A.Puram

Avail of potentially higher return over


long term with flexible investment option.
Presenting LifeTime Maxima from ICICI Prudential.
For more information, SMS 'LIFE' to 57827.

Date of Receipt Policy Status UIN *


05/04/2020 In Force 106K041S01
Cheque Number Cheque Date Receipt Number Name of Bank
92352028
Policy Number Plan Name
0242 13424 Health Assure Plus
Due Date
Benefits Amount
From To
01/04/2020 31/03/2021 Critical Illness 20500.00
Tax 4500.00

Total 25000.00

Tax benefits would be available as follows: Life Insurance Policy u/s 80c, *Interest on late payment will be charged
Pension Policy u/s 80CCC, Health Riders (if any) u/s 80D. Tax benefits @14.50 p.a. compounded half-yearly
would be as per prevailing Income Tax laws. Service Tax and Education
Cess extra as applicable. Servce Tax Details: Category of Service: Life Your next due date is : 05/04/2021
Insurance Service. Registration NO: MIV/ST/IAS-LIFE/1;
PAN BASED STC NO:AAACI7351PST001 Balance in Deposit 0.00

* UIN - Unique Identification No. Specified by IRDA.


If the payment has been made other than in cash, this receipt is conditional upon the credit in company's account post clearance of
the instrument/facility including electronic modes. This is a computer generated advice and does not require any signature.

Going Green - Committed to saving paper for a greener Effective


future: Aug '09, customers on monthly premium paying
frequency will receive their printed receipts on a quarterly basis. The monthly receipts will be emailed to the registered email id
and will also be available on www.iciciprulife.com

ICICI Prudential Life Insurance Company Limited.


Communication Address: Vinod Silk Mills Compound,Chakravarthy Ashok Road, Ashok Nagar,Kandivali(E), Mumbai-400 101
Registered Office: ICICI Prulife Towers,1089, Appasaheb Marathe Marg,Prabhadevi,Mumbai-400 025

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