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Receipt

This document is a renewal premium receipt for Jacob Samuel's Reliance Increasing Income Insurance policy, with a premium amount of ₹51,125 due on 09/03/2026. The payment was made via cheque on 19/03/2025, and the receipt includes details such as the servicing branch, GSTIN, and advisor information. It also outlines terms and conditions regarding the insurance coverage and tax benefits applicable to the payment.

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27 views1 page

Receipt

This document is a renewal premium receipt for Jacob Samuel's Reliance Increasing Income Insurance policy, with a premium amount of ₹51,125 due on 09/03/2026. The payment was made via cheque on 19/03/2025, and the receipt includes details such as the servicing branch, GSTIN, and advisor information. It also outlines terms and conditions regarding the insurance coverage and tax benefits applicable to the payment.

Uploaded by

peaksstore143
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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3/19/25, 4:00 PM Renewal Receipt

RENEWAL PREMIUM RECEIPT/ TAX INVOICE


Servicing Branch:V 2 PLAZA, I FLOOR, N H 208 ROAD, PULAMON PO, KOTTARAKARA - 691531,,KERALA
GSTIN No:32AADCA1410E1ZO
Name of Proposer : JACOB SAMUEL Invoice/Receipt No : WC0058009959
Contact No : XXXXXX4427 Invoice/Receipt Date : 19/03/2025
Policy No : 53891023 Date of Printing : 19/03/2025

Communication Address:GRACE VILLA,PODIYATTUVILA,PODIYATTUVILA PO ARACKAL,KOLLAM


GST State Code of Customer:32
Place of Supply:KERALA

: Reliance Increasing Income Insurance


Plan Name Premium Amount : 51125.00
Plan
Policy Term : 12 Premium Payment Term :6
Next Premium Due
: 09/03/2026 Final Installment Due Date : 09/03/2026
Date
Advisor Code : 22474317 Advisor Name : REJIMONE KUNJUMONE
: CALLED BY OPS & COLLECTED BY
Advisor Contact No. : 9207507735 / 9207507735 Advisor RelationShip.
OPS
SGST/UTGST Amount : 563.0 CGST Amount : 563.0
CESS Amount : 0.00
HSN Code : 9971(Life insurance services)
PAYMENT DETAILS
Payment Type Receipt No. Cheque/DD No. Cheque/DD Date Bank Name Amount
CHEQUE WC0058009959 46529 19/03/2025 STATE BANK OF INDIA 51125.00
Amount Received : 51125.00
Amount (in words) :Rupees Fifty One Thousand One Hundred and Twenty Five Only

Seal & Signature


[Authorised Signatory]

Stamp Duty of Rs.1.00/- is paid as provided under Article 53 of India Stamp Act, 1899 and included in Consolidated Stamp Duty Paid to the Government of
Maharashtra Treasury vide Order of Addl. Controller Of Stamps. Mumbai at General Stamp Office. Fort. Mumbai - 400001. Vide his Order No. (LOA/ENF-
1/CSD/77/2024/Validity Period Dt.30/03/2024 To Dt.29/03/2027 (O/w.No.1859 ) Date: 27/03/2024.

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 formerly know as Reliance Life Insurance Company Limited are eligible for tax benefit us
80C/80CCC[1]/80D as applicable.

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-V 2 PLAZA,1ST FLR, N H 208 SBI BANK,P R S BLDG,MARKET
AXIS BANK,NO. KP IV/830, RELAX INN,TRIVANDRUM
ROAD,, PULAMON PO, KOTTARAKARA, JUNCTION,MARKET JUNCTION,KOTTARAKKARA
ROAD,KOTTARAKKARA 691531 KERALA
KERALA-691531 ,KERALA,KOLLAM,691531

https://webtoken.reliancenipponlife.com/RLIC/reciept/reciepGenerate?id=WC0058009959&date=19/03/2025&num=53891023&paymode=SINGLE… 1/1

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