�Pramerica
..._... LIFE INSURANCE
ORIGINAL FOR RECIPIENT / DUPLICATE FOR SUPPLIER
Date : 25/07/2021 AODPCOAPFLDMFPAIGMEOHK
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Mr Tarun Kushwaha
MES Qtr No 317/5 South Camp
Stn Bamrauli
Allahabad - 211012 Uttar Pradesh
Premium Receipt
Dear Mr Tarun Kushwaha
Thank you for your patronage and continued support as your preferred life insurer.
Received from Mr Tarun Kushwaha a sum of Rs. 4,999.99 towards renewal premium on the policy as per the details below.
Plan Pramerica Life Rakshak Gold
Policy No. 00755988 Total Amount of Premium Rs. 4784.68
Date of Commencement 24/06/2021 Taxable amount of Premium Rs. 1196.17
Policy Term 15 Amount Payable Rs. 4,999.99
Frequency of Payment Monthly Balance held in deposit Rs. 0.02
Amount of IGST @ 18 Rs. 215.31 Amount of CGST @ 0 Rs. 0
Amount of UTGST @ 0 Rs. 0 Amount of SGST @ 0 Rs. 0
You may be entitled for Tax benefits under Section 80C/80CCC/80D as applicable as per Income Tax Act, 1961. Tax benefit
under the policy will be as per the prevailing Income Tax laws and are subject to amendments from time to time. For Tax
PLIL/Operation/POS_UF/Communication Letter/068_01122019 Ver 2.0
related queries please contact your independent tax advisor.
Total Modal Premium Rs. 4,999.99 Next Premium Due on 24/08/2021
For further assistance, please feel free to contact your Pramerica Life Insurance Limited Sales person. You may also call us
on our Customer Service Helpline (Toll Free) 18001027070 or email us at
[email protected] HSN Code for Goods or Services and Description
997132 - Life Insurance Service excluding reinsurance services
Details of Your Agent/ Broker/ Corporate Agent
Your Agent - Mr Vijay Lata, Code - PLIL 70064658, Phone No - 9012403035, Email ID -
[email protected] Your Branch Contact Details - FLOOR, KHASRA NO- 77,, BSRAH NO-1254,, APS CHORHAHAA, CANNT ROAD,,
BIN,, Uttarakhand, Code - PTH, Phone No. - 18001027070, GSTIN Number - 05AACCD6557A1Z1
% DSUnknown
q
1G
1g
0.1 0 0 0.1 9 0 cm
0 J 0 j 4 M []0 d
1i
0g
313 292 m
313 404 325 453 432 529 c
478 561 504 597 504 645 c
504 736 440 760 391 760 c
286 760 271 681 265 626 c
265 625 l
100 625 l
100 828 253 898 381 898 c
451 898 679 878 679 650 c
679 555 628 499 538 435 c
488 399 467 376 467 292 c
313 292 l
h
308 214 170 -164 re
f
0.44 G
1.2 w
1 1 0.4 rg
287 318 m
287 430 299 479 406 555 c
451 587 478 623 478 671 c
478 762 414 786 365 786 c
260 786 245 707 239 652 c
239 651 l
74 651 l
74 854 227 924 355 924 c
425 924 653 904 653 676 c
653 581 602 525 512 461 c
462 425 441 402 441 318 c
287 318 l
h
282 240 170 -164 re
B
Q
Digitally signed by RAJESH KRISHNAN
Date: 2021.07.26 12:11:40 +05:30
Note:- Location: Gurgaon
1. Whether tax payable on reverse charge basis - No
2. Deductions shall be applicable as per the relevant provisions of Income Tax Act
3. Where the first premium is paid by cheque, the assumption of risk by the Company under this Policy is subject to
encashment of the cheque
Disclaimer : The customer hereby irrevocably agrees to indemnify the Company for any willful misrepresentation on account of cash paid by the customer,
under the policy leading to losses, directly and indirectly, to the Company in contravention of applicable laws.
As per the Central Board of Direct Taxes directives, it is mandatory to link Pan with your Aadhaar card w.e.f 1st April 2021, else the PAN shall become
inoperative. The consequences of not furnishing, intimating or quoting of PAN shall be applicable as per the various provisions of the Income Tax Act.
Pramerica Life Insurance Limited
(Erstwhile DHFL Pramerica Life Insurance Company Ltd.)
Registered Office & Communication Address: 4th Floor, Building No. 9, Tower-B, Cyber City, DLF City Phase III, Gurgaon 122002, Haryana.
CIN: U66000HR2007PLC052028 Tel.: 0124 - 4697000, Fax: 0124 - 4697100/ 7200, E-mail:
[email protected] Website: www.pramericalife.in I Customer Service Helpline (Toll Free): 1800 102 7070 I IRDAI Registration Number: 140
