Duplicate Receipt
Dear JADEJA ANIRUDDHSINH DAULATSINH
Thank you for choosing Aditya Birla Sun Life Insurance as your preferred insurance partner for securing your family’s future. Your
premium amount of Rs. 156,750.00 has been received. The details are as follows:
JADEJA ANIRUDDHSINH DAULATSINH Deposit Amount Under Consideration Rs. 156,750.00
PAREKHBAG LALPUR PO LALPUR DIST
JAMNAGAR
LALPUR
361170
Total Amount Rs. 156,750.00
Amount in Words : Rupees One Lacs Fifty Six Thousand Seven
Hundred Fifty only
Receipt No: 302188825 Receipt Type: INITIAL
Payment Received from : JADEJA ANIRUDDHSINH DAULATSINH SAC Code:997132
Owner Name : JADEJA ANIRUDDHSINH DAULATSINH SAC Desc:Life Insurance
Application Number: LM00026510
Payment : Net Banking
Remark :
Requirements for Revival if any :
Insurance Advisor: 002651 HDFC BANK LTD .
Date: 22/11/2024 19:05 Signature Not Verified
Branch Name and Address:G - CORP TECH PARK,5TH FLOOR KASAR Digitally signed by DS ADITYA BIRLA SUN LIFE
INSURANCE COMPANY LIMITED 1
VADAVALI,GHODBUNDER ROAD,THANE WEST 400 601 TEL 3996 1000 Date: 2024.11.22 19:06:18 IST
Reason: I am authorizing this receipt.
Location: ABSLI, MUMBAI
Consolidated revenue stamp duty has been paid by demand draft vide receipt number CSD/23/2024-25/vld(15/07/2024 to 14/07/2025) dated 15/07/2024.
This Receipt is only Acknowledgment of payment. GST Compliant Receipt will be shared separately.
1 For premium received online, vide local cheque or demand draft before 3:00 pm, NAV, of same day will be applied and premium received online, vide local cheque or
demand draft after 3:00 pm, NAV, of the next business day will be applicable.
2 Any sum paid on insurance policy with Aditya Birla Sunlife Insurance Company Limited would be eligible for applicable tax benefits, under the Income Tax Act, 1961, as
amended from time to time. For specific suitability you are requested to consult your tax advisor.
3 W.e.f 1st July 2017,GST will be levied on Life Insurance Premium as per the applicable tax rates.
NACH/Direct debit Submit the duly completed NACH/Direct debit form and an original cancelled cheque with MICR code at your nearest Branch Office
Net banking - To make payments online, visit our website www.adityabirlasunlifeinsurance.com (Over 55 banks to choose from)
Visit www.adityabirlasunlifeinsurance.com, download the ‘Policy Service Request Form’, submit the duly completed form at your nearest branch office and enjoy the following
benefits:
• Instant access to policy updates • Paperless record of all your policies
Aditya Birla Sun Life Insurance Company Limited
(Formerly known as Birla Sun Life Insurance Company Limited)
Write to us at: Customer Service, Aditya Birla Sun Life Insurance Company Limited, G Corp
Tech Park, 6th Floor, Kasar Wadavali, Ghodbunder Road, Thane - 400601.
Regd Office: One Indiabulls Centre, Tower 1, 16th Floor, Jupiter Mill Compound,
841, Senapati Bapat Marg, Elphinstone Road, Mumbai - 400013
+91 22 6723 9100 | care.lifeinsurance@adityabirlacapital.com |
adityabirlasunlifeinsurance.com | CIN: U99999MH2000PLC128110 | Regn. No.: 109.
