STATEMENT OF ACCOUNT AS ON 15/06/25

FUTURE_WEALTH_GAIN
To, Statement Date : 15-06-2025
Policy No. : 0401491906
Mr. MALLINATHA DHOTARBANDI Issued Date : 15-JUN-20
Sum Assured : Rs. 1000000
Frequency Of Payment : Yearly
Premium Amount : Rs. 100000
Policy is eligible for partial withdrawal post lock-in period
Portfolio Strategy : Investor selectable portfolio strategy

Summary Top Up
Top Up
Regular
Regular
Fund Name & SFIN NAV Premium Premium Fund Capital Units
Premium Units Premium Units
Fund Value Value
BOND FUND :
43.3538 0 0 0 0 0
ULIF02610/07/06BONDFUNDLI116

PURE STOCK FUND :

152.8888 0 0 1988.5322 304024.31 0
ULIF02721/07/06PURESTKFUN116

ACCELERATOR MID CAP FUND - 2 :

81.9035 0 0 0 0 0
ULIF05206/01/10ACCMIDCA02116

BLUE CHIP EQUITY FUND :

44.7647 0 0 0 0 0
ULIF06026/10/10BLUECHIPEQ116

ASSET ALLOCATION FUND II :

31.0852 0 0 0 0 0
ULIF07205/12/13ASSETALL02116

PURE STOCK FUND II :

26.4589 0 0 0 0 0
ULIF07709/01/2017PURSTKFUN2116

FLEXI CAP FUND :

16.8452 0 0 0 0 0
ULIF07917/11/21FLXCAPFUND116

SUSTAINABLE EQUITY FUND :

15.1236 0 0 0 0 0
ULIF08017/11/21SUEQUFUND116

SMALL CAP FUND :

19.2716 0 0 0 0 0
ULIF08717/01/23SMALLCAPFU116

MIDCAP INDEX FUND :

12.8691 0 0 23036.766 296462.44 0
ULIF08919/10/23MIDCPINDFD116

SMALLCAP QUALITY INDEX FUND :

11.6146 0 0 0 0 0
ULIF09103/01/24SMCPQYINDF116

NIFTY 200 MOMENTUM 30 INDEX FUND :

9.0744 0 0 0 0 0
ULIF09429/10/24N200MO30IN116
Nifty 500 Multicap Momentum Quality
50 Index Fund : 11.986 0 0 0 0 0
ULIF09527/12/24N500MM50IN116
FOCUSED 25 FUND :
10.7579 0 0 28166.979 303017.53 0
ULIF09606/02/25FOCUSED25F116

0 0 53192.2764 903504.28 0

*Account Value Rs. 903504.28

BOND FUND SFIN : ULIF02610/07/06BONDFUNDLI116

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 BOND FUND SFIN : ULIF02610/07/06BONDFUNDLI116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

28-FEB-22 Fund Switch In Regular 0 0 70422.98 34.9586 2014.4680

28-FEB-22 Fund Switch In Regular 0 0 183592.77 34.9586 5251.7197

-247459.1
21-JUN-22 Fund Switch Out Regular 0 0 34.0853 -7259.9971
9

Total Charges 0 0 -212.59 0 -6.1906

Balance c/f 0.0001

PURE STOCK FUND SFIN : ULIF02721/07/06PURESTKFUN116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

15-JUN-20 New Business Regular 30000 94 28200 59.7893 471.6563

07-JUN-21 Fund Switch Out Regular 0 0 -41301.01 89.1869 -463.0838

Regular Premium
14-JUN-21 30000 97 29100 90.5619 321.3272
Renewal Year

22-OCT-21 Fund Switch In Regular 0 0 15000 99.4404 150.8441

03-DEC-21 Fund Switch In Regular 0 0 26294.49 96.779 271.6962

28-FEB-22 Fund Switch Out Regular 0 0 -70422.98 94.8731 -742.2861

Regular Premium
27-JUN-22 30000 97 29100 88.7989 327.7068
Renewal Year

Regular Premium
05-JUL-23 30000 97 29100 107.4605 270.7972
Renewal Year

Mortality Charge
05-FEB-24 0 0 -2.39 135.089 -0.0177
Adjustment Regular

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 PURE STOCK FUND SFIN : ULIF02721/07/06PURESTKFUN116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

Mortality Charge
05-FEB-24 0 0 -2.36 135.089 -0.0175
Adjustment Regular

Service Tax/GST
05-FEB-24 0 0 -0.43 135.089 -0.0032
Adjustment Regular

Regular Premium
08-JUL-24 30000 97 29100 155.2673 187.4187
Renewal Year

08-JUL-24 Fund Switch In Regular 0 0 104497.09 155.2673 673.0142

12-JUL-24 Fund Switch In Regular 0 0 67818.3 156.384 433.6652

-307005.4
08-OCT-24 Fund Switch Out Regular 0 0 162.4628 -1889.6969
4

16-Apr-25 Fund Switch In Regular 0 0 283900.9 142.7675 1988.5543

Total Charges 0 0 -1046.36 0 -12.9982

Balance c/f 1988.5769

ACCELERATOR MID CAP FUND - 2 SFIN : ULIF05206/01/10ACCMIDCA02116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

15-JUN-20 New Business Regular 70000 94 65800 27.5805 2385.7437

03-FEB-21 Fund Switch Out Regular 0 0 -50000 39.8511 -1254.6705

07-JUN-21 Fund Switch Out Regular 0 0 -49708.76 45.5975 -1090.1642

Regular Premium
14-JUN-21 70000 97 67900 45.9841 1476.5973
Renewal Year

22-OCT-21 Fund Switch In Regular 0 0 15000 51.0558 293.7962

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 ACCELERATOR MID CAP FUND - 2 SFIN : ULIF05206/01/10ACCMIDCA02116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)
22-OCT-21 Fund Switch In Regular 0 0 15000 51.0558 293.7962

03-DEC-21 Fund Switch Out Regular 0 0 -87648.3 49.6529 -1765.2202

Regular Premium
27-JUN-22 70000 97 67900 44.5098 1525.5067
Renewal Year

06-JUL-22 Fund Switch Out Regular 0 0 -69332.45 45.5195 -1523.1373

Regular Premium
05-JUL-23 70000 97 67900 56.0651 1211.0920
Renewal Year

Mortality Charge
05-FEB-24 0 0 -2.67 74.5183 -0.0358
Adjustment Regular

Mortality Charge
05-FEB-24 0 0 -2.65 74.5183 -0.0356
Adjustment Regular

Mortality Charge
05-FEB-24 0 0 -2.64 74.5183 -0.0354
Adjustment Regular

Service Tax/GST
05-FEB-24 0 0 -0.48 74.5183 -0.0064
Adjustment Regular

Regular Premium
08-JUL-24 70000 97 67900 86.4322 785.5869
Renewal Year

-104497.0
08-JUL-24 Fund Switch Out Regular 0 0 86.4322 -1209.0065
9

12-JUL-24 Fund Switch Out Regular 0 0 -67818.3 86.3803 -785.1130

Total Charges 0 0 -1717.19 0 -50.8431

Balance c/f 0.0548

BLUE CHIP EQUITY FUND SFIN : ULIF06026/10/10BLUECHIPEQ116

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 BLUE CHIP EQUITY FUND SFIN : ULIF06026/10/10BLUECHIPEQ116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

06-JUL-22 Fund Switch In Regular 0 0 69332.45 28.5022 2432.5298

18-MAY-23 Fund Switch Out Regular 0 0 -78455.8 32.2935 -2429.4609

Total Charges 0 0 -96.57 0 -3.0689

Balance c/f -0.0001

ASSET ALLOCATION FUND II SFIN : ULIF07205/12/13ASSETALL02116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

03-FEB-21 Fund Switch In Regular 0 0 25000 20.4171 1224.4637

07-JUN-21 Fund Switch Out Regular 0 0 -25945.17 21.23 -1222.0994

Total Charges 0 0 -48.28 0 -2.3644

Balance c/f -0.0000

PURE STOCK FUND II SFIN : ULIF07709/01/2017PURSTKFUN2116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

03-FEB-21 Fund Switch In Regular 0 0 25000 14.3247 1745.2372

07-JUN-21 Fund Switch In Regular 0 0 25945.17 15.7805 1644.1285

07-JUN-21 Fund Switch In Regular 0 0 41301.01 15.7805 2617.2180

07-JUN-21 Fund Switch In Regular 0 0 49708.76 15.7805 3150.0117

22-OCT-21 Fund Switch Out Regular 0 0 -30000 17.5422 -1710.1617

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 PURE STOCK FUND II SFIN : ULIF07709/01/2017PURSTKFUN2116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)
22-OCT-21 Fund Switch Out Regular 0 0 -30000 17.5422 -1710.1617

03-DEC-21 Fund Switch In Regular 0 0 61353.81 16.9902 3611.1294

-183592.7
28-FEB-22 Fund Switch Out Regular 0 0 16.6656 -11016.2715
7

21-JUN-22 Fund Switch In Regular 0 0 247459.19 15.4623 16004.0342

-295169.5
22-JUN-23 Fund Switch Out Regular 0 0 18.4974 -15957.3516
3

Total Charges 0 0 -1441.53 0 -87.9745

Balance c/f -0.0003

FLEXI CAP FUND SFIN : ULIF07917/11/21FLXCAPFUND116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

05-FEB-25 Fund Switch In Regular 0 0 298797.28 16.2055 18438.0176

28-FEB-25 Fund Switch Out Regular 0 0 -273025.4 14.808 -18437.6953

Total Charges 0 0 -4.94 0 -0.3207

Balance c/f 0.0016

SUSTAINABLE EQUITY FUND SFIN : ULIF08017/11/21SUEQUFUND116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

18-MAY-23 Fund Switch In Regular 0 0 78455.8 10.1204 7752.2432

22-JUN-23 Fund Switch In Regular 0 0 147584.77 10.518 14031.6367

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 SUSTAINABLE EQUITY FUND SFIN : ULIF08017/11/21SUEQUFUND116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

Mortality Charge
05-FEB-24 0 0 -8.39 12.9833 -0.6462
Adjustment Regular

Mortality Charge
05-FEB-24 0 0 -8.37 12.9833 -0.6447
Adjustment Regular

Mortality Charge
05-FEB-24 0 0 -8.34 12.9833 -0.6424
Adjustment Regular

Service Tax/GST
05-FEB-24 0 0 -1.51 12.9833 -0.1163
Adjustment Regular

Service Tax/GST
05-FEB-24 0 0 -1.5 12.9833 -0.1155
Adjustment Regular

-290870.6
24-Apr-24 Fund Switch Out Regular 0 0 13.3753 -21746.8496
2

29-NOV-24 Fund Switch In Regular 0 0 273310.53 15.0985 18101.8340

-243063.8
04-MAR-25 Fund Switch Out Regular 0 0 13.4281 -18101.1328
1

Total Charges 0 0 -390.88 0 -34.6899

Balance c/f 0.8764

SMALL CAP FUND SFIN : ULIF08717/01/23SMALLCAPFU116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

22-JUN-23 Fund Switch In Regular 0 0 147584.77 10.5328 14011.9209

Mortality Charge
05-FEB-24 0 0 -6.58 15.8603 -0.4149
Adjustment Regular

Mortality Charge
05-FEB-24 0 0 -6.57 15.8603 -0.4142
Adjustment Regular

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 SMALL CAP FUND SFIN : ULIF08717/01/23SMALLCAPFU116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

Mortality Charge
05-FEB-24 0 0 -6.56 15.8603 -0.4136
Adjustment Regular

Service Tax/GST
05-FEB-24 0 0 -1.18 15.8603 -0.0744
Adjustment Regular

-273310.5
29-NOV-24 Fund Switch Out Regular 0 0 19.5518 -13978.7920
3

Total Charges 0 0 -435.94 0 -31.1752

Balance c/f 0.6366

MIDCAP INDEX FUND SFIN : ULIF08919/10/23MIDCPINDFD116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

08-OCT-24 Fund Switch In Regular 0 0 153502.73 13.1509 11672.4121

28-OCT-24 Fund Switch In Regular 0 0 474341.84 12.5364 37837.1641

-597594.5
05-FEB-25 Fund Switch Out Regular 0 0 12.0707 -49507.8633
6

29-Apr-25 Fund Switch In Regular 0 0 277381.84 12.0407 23037.0195

Total Charges 0 0 -24.29 0 -1.9694

Balance c/f 23036.7630

SMALLCAP QUALITY INDEX FUND SFIN : ULIF09103/01/24SMCPQYINDF116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

24-Apr-24 Fund Switch In Regular 0 0 290870.62 10.8281 26862.5742

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 SMALLCAP QUALITY INDEX FUND SFIN : ULIF09103/01/24SMCPQYINDF116
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

08-OCT-24 Fund Switch In Regular 0 0 153502.73 12.7629 12027.2607

-474341.8
28-OCT-24 Fund Switch Out Regular 0 0 12.2029 -38871.2383
4

Total Charges 0 0 -226.42 0 -18.5958

Balance c/f 0.0009

NIFTY 200 MOMENTUM 30 INDEX FUND SFIN : ULIF09429/10/24N200MO30IN116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

05-FEB-25 Fund Switch In Regular 0 0 298797.28 8.7758 34047.8672

28-FEB-25 Fund Switch In Regular 0 0 273025.4 7.7466 35244.5469

16-Apr-25 Fund Switch Out Regular 0 0 -567801.8 8.1947 -69288.9141

Total Charges 0 0 -28.06 0 -3.5032

Balance c/f -0.0032

Nifty 500 Multicap Momentum Quality 50 Index SFIN : ULIF09527/12/24N500MM50IN116

Fund

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

04-MAR-25 Fund Switch In Regular 0 0 243063.81 9.8232 24743.8535

-277381.8
29-Apr-25 Fund Switch Out Regular 0 0 11.2106 -24742.8184
4

Total Charges 0 0 -10.62 0 -1.0355

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 Nifty 500 Multicap Momentum Quality 50 Index SFIN : ULIF09527/12/24N500MM50IN116
Fund
Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)
Balance c/f -0.0003
FOCUSED 25 FUND SFIN : ULIF09606/02/25FOCUSED25F116

Net
Transactio Amount Allocation Allocated
Req ID Transaction Investment ATS Flag Unit Price
n Date (Rs) Rate % Units
(Rs)

16-Apr-25 Fund Switch In Regular 0 0 283900.9 10.0791 28167.2891

Total Charges 0 0 -3.31 0 -0.3109

Balance c/f 28166.9782

Foreclosure Pen in Rs : 0 ST/GST on Pen in Rs : 0

Partial Withdrawals and Fund Switch are allowed only from Accumulation Units as per terms and conditions of
the policy ,
Accumulation Units 0 & Unit Value is 0 as on
Lock- In Period
Withdrawal 5 Years from date of commencement
Surrender 5 Years from date of commencement
Top Up 5 Years from date of Top Up adjustment

*The Account Value on the basis of which your request shall be processed may be subject to revision at the time of final
verification of the Statement of Account. The Company reserves the right to make necessary corrections in the Statement of
Account to remove any inadvertent errors and prepare the same in accordance with Policy Terms

Disclaimer :
Tax will be deducted under section 194DA of the Income Tax Act, 1961 subject to conditions as mentioned in Section 10(10D)
of Income Tax Act,1961.If PAN is updated in system, TDS will be deducted @ 5% on income from policy. In the absence of PAN,
TDS will be deducted @ 20% on income from policy. TDS once deducted will not be refunded.
1. Please update your PAN in system so that TDS certificate can be issued. In the absence of PAN, TDS certificate cannot be
issued. Please consult your Income Tax advisor/consultant for tax treatment under Income Tax Act,1961.
For NRI customers TDS shall be deducted under section 195 of Income Tax Act,1961 at applicable rates.
2. You have the option to receive the claims/maturity payments/other sum due to you from the Company through electronic
mode. If you wish to receive the payment through electronic mode, kindly furnish your Bank Account details (Account No,
Name & Address of the Bank and IFSC No.) along with a copy of cancelled cheque at the Office of the Company.
Please ensure to keep your bank particulars updated in case of any subsequent change.
* Account Value is based on NAV available on
Service tax or Goods and service tax is charged as applicable
Note : This is a computer generated letter. No signature is required.

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.
 Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006. Reg. No.: 116. CIN :
U66010PN2001PLC015959 | Mail us: [email protected] | Call on : Toll free no. 1800 209 7272 | Fax No:
02066026789.

Collection Details
BS
Receipt Transaction Drawee Cheque Deposit
Receipt No. Pay Mode Amount Cheque No Cheque
Date Type Bank Date Bank
Status
0831719664 13-JUN-20 CCOL FRP 100000 T HDFC
0924870155 11-JUN-21 CCOL RWP 100000 AXIS T AXIS
1032665925 27-JUN-22 CCOL RWP 100000 CITRUS T CITRUS
1135047108 05-JUL-23 CCOL RWP 100000 T CITRUS
1270026604 06-JUL-24 CCOL RWP 100000 T CITRUS

Assuring you the best of our services, always!

Your Life Goals enabler,
Bajaj Allianz Life

For any assistance

Call our Toll Free Number: 18002097272 Email us on: [email protected]

Bajaj Allianz Life Insurance Co. Ltd., Regd. Office Address: Bajaj Allianz House, Airport Road, Yerawada, Pune - 411006., IRDAI Reg No.: 116, Visit : www.bajajallianzlife.com, CIN :
U66010PN2001PLC015959, Mail us : [email protected], Call on : Toll free no. 1800 209 7272, Fax No: 02066026789. The Logo of Bajaj Allianz Life Insurance Co. Ltd. is
provided on the basis of license given by Bajaj Finserv Ltd. to use its “Bajaj” Logo and Allianz SE to use its “Allianz” logo.