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    Premium Receipts 5

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    Premium Receipts 5

    Uploaded by

    crvnjby8cw
    5 views1 page

    Copyright

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    Copyright:

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

    Premium Receipts 5

    Uploaded by

    crvnjby8cw

    Copyright:

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

    PREMIUM RECEIPT

    Tax Invoice
    Receipt No.: 1138807297 Receipt Date : 19-JUL-23

    Personal Details
    Unique Invoice Number
    Application No.: 6109697075 Policy No.: 0493554663
    Policy Holder’s Name: ADITYA RAJ TAMRAKAR PAN No.: CEAPT8115D
    E-mail: [email protected] Contact No.: 8223845292

    Policy Details
    Plan Name: Bajaj Allianz Life Flexi Income Goal
    Life Insured: MR ADITYA RAJ TAMRAKAR
    Sum Assured: 1350648 Policy Commencement Date: 16-JAN-22
    Policy Term: 30 Premium Payment Term: 12
    Premium (W/O GST): 60011.04 Premium Payment Frequency: 2
    Premium Due Date From: 16-JUL-23 Premium Due Date To:
    Premium Received (incl GST): 61361 Next Due Date: 16-JAN-24
    Amount in Words: Rupees Sixty One Thousand Three Hundred Sixty One Only
    Agent Code: 1003162965 Agent Name: CHIRAG ASHOK GUPTA GUPTA

    Tax Details
    GSTIN of the Customer in case having GST registration
    GSTIN of Supplier BALIC source branch. 23AADCA1701E1ZL UIN Code: 116N162V02
    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 MADHYA PRADESH

    Policy No Product Name Taxable Value CGST 9% SGST/UTGST 9% IGST 18% TOTAL
    Bajaj Allianz Life Flexi Income
    0493554663 675.12 675.12
    Goal
    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.: LOA/CSD/51/2023/2642
    This is system generated receipt hence requires no signature.
    Got questions?
    Say Hi to us on our WhatsApp No. or Scan
    QR Code
    8806727272
    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 : [email protected], 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.

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