PREMIUM RECEIPT
Tax Invoice
Receipt No.: 1361077618 Receipt Date : 11-MAR-25
Personal Details
Unique Invoice Number
Application No.: 6140248631 Policy No.: 0589533524
Policy Holder’s Name: RAKESH JAIN PAN No.: AGNPJ6431J
E-mail: jainrakeshjain11@gmail.com Contact No.: 8777250576
Policy Details
Plan Name: BAJAJ ALLIANZ LIFE ACE
Life Insured: MRS SUMAN JAIN
Sum Assured: 644468 Policy Commencement Date: 12-FEB-24
Policy Term: 31 Premium Payment Term: 12
Premium (W/O GST): 5126 Premium Payment Frequency: 12
Premium Due Date From: 12-FEB-25 Premium Due Date To:
Premium Received (incl GST): 5241 Next Due Date: 12-MAR-25
Amount in Words: Rupees Five Thousand Two Hundred Forty One Only
Agent Code: 11IMS01912 Agent Name: SOMA MANNA
Tax Details
GSTIN of the Customer in case having GST registration
GSTIN of Supplier BALIC source branch. 19AADCA1701E1ZA UIN Code: 116N186V01
Description of Services Life Insurance Service HSN Code: 997132
Whether GST is payable under Reverse Charge on such supplies. No
State Name and code in case of inter-state supply WEST BENGAL
Policy No Product Name Taxable Value CGST 9% SGST/UTGST 9% IGST 18% TOTAL
0589533524 BAJAJ ALLIANZ LIFE ACE
Disclaimer:Insurance cover shall commence only from the date of acceptance of risk, based on proposal papers submitted and other requirements called for. In case of
reinstatement of policy, insurance cover shall resume from the date of reinstatement. In case of outstation cheque, NAV will be as per the unit price of the date of
realization of the cheque.
For eligibility under section 80C/80D of income Tax Act,1961. Please consult your tax advisor.
Experience convenience at your fingertips with Bajaj Allianz Life – Life Assist, our comprehensive customer portal and mobile
application to:
Update contact & Check Fund Switch Funds To access app,
bank details Performance scan QR code
Register for Autopay/ Pay Premium Download e-Statement
Auto-Debit & Top-ups & e-Policy Bond
Premium Receipt is subject to realization of negotiable instrument / Bankers instruction. Mudrank No.:
This is system generated receipt hence requires no signature.
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BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS / FRAUDULENT OFFERS! IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums. Public receiving such phone calls are
requested to lodge a police complaint.
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 : customercare@bajajallianz.co.in, 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.