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RAJUPALEM(V&POST) 50436198
KOMAROLE(MDL)RAJUPALEM
PRAKASHAM
ANDHRA PRADESH Application Inward Date:
523369 30/10/2023
Customer Contact No. : 8099129286
Advisor Code : 21398919
Advisor Name : MALLIKARJUNA RAO P.
Advisor Contact No. :
SM Code : 013605
We hereby confirm the receipt of the premium payment towards your life insurance policy with us, through online payment. We
congratulate you for ensuring your family¶s continued security and peace of mind.
Amount in words : Seventeen Thousand Eight Hundred and Twenty-Three Rupees Only
Paid by : Cheque/DD/Credit Card No.: 12289531 Date: 30/10/2023 Drawn on: RNEW
Consolidated revenue stamp duty paid : Mudrank No. 2016/1112/CR. 314/M-1 dtd 10.05.2016
Please note that with effect from 1 July 2017 (proposed date) or any other notified date, GST may be applicable on the premium due / collected at the prescribed
rates. The differential tax liability, if any, on account of GST shall be borne by the policyholders and Company reserves the right to adjust / recover the same
separately As per the relevant terms and conditions stipulated in the policy document agreed with you.
Reliance Nippon Life Insurance Company Limited. Formerly known as Reliance Life Insurance Company Limited. IRDAI Registration No. 121.
Registered Office: H Block, 1st Floor, Dhirubhai Ambani KnowledgeCity, Navi Mumbai, Maharashtra 400710, India.
Corporate Office: Reliance Nippon Life Insurance Company Limited, Reliance Centre, Off Western Express Highway, Santacruz East, Mumbai 400 055. Call
Center: 30338181 or 1800-3000-8181 (9 AM to 6 PM between Monday and Saturday) Email: rnlife.customerservice@relianceada.com
Website: www.reliancenipponlife.com
CIN:U66010MH2001PLC167089 Instant payment receipt A4/Version 1/ March 2017