RENEWAL PREMIUM RECEIPT/ TAX INVOICE

Servicing Branch:
GSTIN No:

PERSONAL DETAILS
Name of Proposer : PRIYA HARIKUMAR Invoice/Receipt No : WC0059609626
Contact No : XXXXXX2933 Invoice/Receipt Date : 28/08/2025
Policy No : 54504075 Date of Printing : 28/08/2025

Communication Address :
GST State Code of Customer :

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Place of Supply :

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Please update your latest email address and contact number to help us to keep you informed of key updates on your life insurance policy.

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POLICY DETAILS

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Plan Name : Smart Pension Plan (Regular) Premium Amount : 500000.00

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Policy Term : 15 Premium Payment Term : 15

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Next Premium Due Date : 14/08/2026 Final Installment Due Date : 14/08/2038

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: 21253501 : SYAM MOHAN
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Advisor Code Advisor Name

Advisor Contact No. : 9645922983 / 9645922983 HSN Code : 9971 (Life insurance services)
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SGST/UTGST Amount : 0.0 CGST Amount : 0.0
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PAYMENT DETAILS
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Payment Type Receipt No. Cheque/DD No. Cheque/DD Date Bank Name Amount
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CHEQUE WC0059609626 68 28/08/2025 ICICI BANK LIMITED 500000.00

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Amount Received : 500000.00

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Amount (in words) : Rupees Five Lakh Only

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Seal & Signature

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[Authorised Signatory]
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CONSOLIDATED REVENUE STAMP DUTY OF RE.1/-PAID VIDE NOTIFICATION NO: Mudrank CSD/306/2021/1265/2021 : DATED 30.03.2021
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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
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the risk.
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2. Payments to Reliance Nippon Life Insurance Company Limited formerly known as Reliance Life Insurance Company Limited are eligible for tax benefit us 80C/80CCC[1]/80D as
applicable.
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For more details about payment options please visit www.reliancenipponlife.com.

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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-4TH FLOOR, NEW BHARATH SBI BANK,TC10/1204(2),OPP CENTRAL POLYTECH COLLEGE,OPP CEN AXIS BANK,BUILDING NO.TC.7/3530(1),JEROSY,
HEIGHTS, THYCAUD, TRIVANDRUM, POLYTECH COLLEGE,VATTI,KERALA,THIRUVANANTHAPURAM,695013 SREEKARYAM ULLOOR
THIRUVANATHAPURAM DISTRICT, KERALA- ROAD,THIRUVANANTHAPURAM 695011 KERALA
695014
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