Premium Receipt.pdf

7/11/2014

Premium Receipt

Premium Receipt Life Assured:

Srikanth Konde

Date:

22/4/2014

Policy Holder Name:

Srikanth Konde

Policy No:

00769118

Address:

Flat No 109 Sri Sadguru Krupa Sadan Apartments Beside C hanakya Public School Vizanagaram 535003 Andhra Pradesh IND

Date Of Commencement Frequency Of Payment Premium Due Date Premium Paid 22/4/2014

Yearly

22/4/2014

40000.00

Yours Sincerely, Star Union Dai-ichi Life Insurance C o. Ltd.

Note: 1. Amount received by cheque is subject to realisation of cheque. 2. This is a computer generated receipt and hence do not require signature. 3. Eligible for Income Tax rebates as per rules. 4. Service Tax applicable as per prevailing service tax law. C ategory : Life Insurance. Service tax registration no. AALC S3949OST001

Regd. Office: Star House 3rd Floor, (West Wing), C -5, 'G' Block, Bandra-Kurla C omplex, Bandra (East), Mumbai-400051

http://www.sudlife.in/en-US/Pages/PremiumPopUpView.aspx?Productid=00769118&PDD=22/4/2014

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