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    Life Insurance Premium Receipt: Personal Details

    Uploaded by

    Harsh Gandhi
    This receipt confirms that Mr. Lalit Gandhi paid an insurance premium of Rs. 1,50,000 for his Max Life Online Term Plan Plus policy covering the period from April 1, 2021 to March 31, 2022. The policy provides a total sum assured of Rs. 1,00,00,000 and was sold by Coverfox Insurance Brokers. The receipt also includes details of the policy, premium breakdown, and important notes.

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    © All Rights Reserved
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    Life Insurance Premium Receipt: Personal Details

    Uploaded by

    Harsh Gandhi
    490 views1 page
    This receipt confirms that Mr. Lalit Gandhi paid an insurance premium of Rs. 1,50,000 for his Max Life Online Term Plan Plus policy covering the period from April 1, 2021 to March 31, 2022. The policy provides a total sum assured of Rs. 1,00,00,000 and was sold by Coverfox Insurance Brokers. The receipt also includes details of the policy, premium breakdown, and important notes.

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    2018032388

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    This receipt confirms that Mr. Lalit Gandhi paid an insurance premium of Rs. 1,50,000 for his Max Life Online Term Plan Plus policy covering the period from April 1, 2021 to March 31, 2022. The policy provides a total sum assured of Rs. 1,00,00,000 and was sold by Coverfox Insurance Brokers. The receipt also includes details of the policy, premium breakdown, and important notes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    490 views1 page

    Life Insurance Premium Receipt: Personal Details

    Uploaded by

    Harsh Gandhi
    This receipt confirms that Mr. Lalit Gandhi paid an insurance premium of Rs. 1,50,000 for his Max Life Online Term Plan Plus policy covering the period from April 1, 2021 to March 31, 2022. The policy provides a total sum assured of Rs. 1,00,00,000 and was sold by Coverfox Insurance Brokers. The receipt also includes details of the policy, premium breakdown, and important notes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Date: 01-Apr-2021

    ReceiptNo.:139785312APR202101

    Life Insurance Premium Receipt


    Duration For Which the Premium is Received: 01-04-2021 to 31-MAR-2022
    Personal Details
    Policy Number: 139785312 Current residential state: Maharashtra
    Policyholder Name: Mr. Lalit Gandhi Mobile No. 7887894371
    Commuinication Address: F-301 ROHAN KRITIKA Landline no. Please inform us for regular updates
    SINHAGAD ROAD Life Insured Name: MR. LALIT GANDHI
    Pune – 411030 AJPPG1259H
    PAN Number:
    E-Mail: LALITGANDHI@ICLOUD.COM

    Policy Details

    Plan Name: Max Life Online Term Plan PlusMax Life Waiver Of Premium Plus Rider CO - 104N092V02

    Policy Term 20 Years Premium Payment Frequency Monthly


    Date of Commencement 1-APR-2021 Date of Maturity 31-MAR-2041
    Last Premium Due Date 1-APR-2021 Next Due Date 31-MAR-2022
    Reinstatement Interest (incl. GST) ` 0.00 Model Premium (incl. GST) ` 1,50,000.00

    Total Sum Assured of base plan and term


    Total Premium Received (incl. GST)* ` 1,50,000.00 ` 1,00,00,000.00
    rider (if any)
    Coverfox Insurance Brokin
    Agent's Name Agent's Contact No. 18002005522
    Head Office

    GST Details
    Coverage Type SAC Code GST (INR) GSTIN 27AACCM3201E1Z3
    Base 997132 ` 194.83 GST Regd. State Maharashtra
    Rider 997132 ` 10.28 Affix
    Re1
    Reinstatement Interest ` 0.00
    revenue
    Total ` 205.11 stamp

    Important Note:

    *For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk
    commencement starts after acceptance of risk by us. *Amount received would be adjusted against the due premium as per terms and conditions of the policy. *Premium paid would
    be eligible for deduction as per the provision of Income Tax Act, 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to change due to changes in
    legislation or government notification. *Applicable Taxes, Cesses and Levies, as per prevailing laws, shall be borne by you. *For GST purposes,this premium receipt is Tax
    Invoice.Assessable Value in GST for Endowment First Year is 25%, Renewal Year is 12.5%; Single Premium Annuity is 10%; Term and Health is 100%. In case of unit linked product
    GST is applicable on charges.

    Authorised signatory

    PRM20

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