INITIAL PREMIUM DEPOSIT RECEIPT
Name of Proposer : MAHETA NITINKUMAR NAGARDAS Receipt No : TB0059845702
Application No : TM644436 Receipt Date : 19/09/2025
Contact No : XXXXXX7497 Date of Printing : 19/09/2025
Dear MAHETA NITINKUMAR NAGARDAS ,
We thank you for choosing Reliance Nippon Life Insurance Company Limited Reliance Nippon Life Guaranteed Money Back Plus (UIN:
121N181V02) . We value your patronage and look forward to a long lasting and fruitful relationship with you in the coming years.
Kindly preserve this acknowledgement note for your reference and get in touch with us immediately in case you have observed any error in the
details mentioned below.
APPLICATION DETAILS ADVISOR DETAILS
Application No. : TM644436 Advisor Code : 22713410
Policy Term : 17 Advisor Name : DHAN CORPORATE AND INSURANCE S
Premium Payment Term : 12 Advisor Contact No. : 18002034191 / 9529763234
Sum Assured : 221719 SM Code : R42590
SM Name. : Dhan Corporate Ins Ser LLP
PAYMENT DETAILS
Payment Type Receipt No. Cheque/DD No. Cheque/DD Date Bank Name Amount
CREDITCARD TB0059845702 1434XXXXXXXX4411 18/09/2025 33000.00
CASH TB0059845703 1.00
Amount Received : 33001.00
Amount (in words) :Rupees Thirty Three Thousand One Only
Seal & Signature
[Authorised Signatory]
TERMS & CONDITIONS
1. This receipt is issued subject to the clearance of the cheque if payment is made by cheque. Insurance protection shall only be provided effective from the date of
acceptance of the risk.
2. Payments to Reliance Nippon Life Insurance Company Limited are eligible for tax benefit us 80C/80CCC[1]/80D as applicable.
3. GST is levied at the applicable Tax rates in accordance with the prevailing Tax Laws, from time to time.
4. For ULIP products, in respect of premium received up to 3 pm by the Company, the closing NAV of the business day on which premium is received shall be
applicable. In respect of premium received after 3 pm by the insurer the closing NAV of the next business day shall be applicable.
5. Premium paid in advance will be applied to the policy on premium due date only.
6.This is an acknowledgement and cannot be used as a receipt for income tax purposes. An appropriate receipt valid for Income Tax purposes would be issued
For more details about payment options please visit www.reliancenipponlife.com.
As per recent IRDAI notification,you also have an option to apply to receive claim/maturity/any other sum under your policy through electronic transfer.
Your nearest branch for premium payment is:
RNLIC ADDRESS SBI BANK ADDRESS AXIS BANK ADDRESS
RNLIC-1ST FLR,SHOP NO, 9-10-11-12-
AXIS BANK,GROUND FLOOR ,SHOP NO.13-
13 DIAMOND PLAZA, HIGHWAY CHAR SBI BANK,PATEL BHUVAN,STATION ROAD
16,VRAJ COMPLEXNANI
RASTA, KADI-KALOL, KADI, GUJARAT- KADI,GUJARAT,MEHSANA,382715
KADIMEHSANA 382715 GUJARAT
382715
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