Your Online Renewal Premium Receipt

Receipt Number : OT000330624

Date : 27-02-2017

Dear Valued Customer,

Greetings from Exide Life Insurance!

We thank you for making your renewal premium payment online.

We wish to confirm receipt of 5045.48 towards renewal premium against your Exide Life Insurance Policy Number 02118484
as per the details given below.

Policy Owner name Mr. N J Yathish

Life Assured name MR N J Yathish
Plan Exide Life New Fulfilling Life Whole life Plan
Billing frequency Semi-Annual
Premium due date 28-02-2017
Base premium 4849.00
Rider premium 92.00
Adjustments 0.00
Late payment interest 0.00
*Service tax 104.49
Amount Paid 5045.48
Method of payment Debit Card

<Consolidated Revenue Stamp Duty paid to GOVERNMENT OF KARNATAKA>

Please get in touch with us for any further assistance.

We hope to serve you again.

This is a system generated document, hence does not need a signature.

Premium paid in advance would be held in deposit without interest, the premium will be adjusted to the policy on the due date. Tax benefits on insurance premium
are as per prevailing income tax laws and are subject to amendments made thereto from time to time. *Service Tax includes applicable cess or any other form of taxes
or charges or levies will be additionally charged as per prevailing laws and regulations wherever applicable. For Unit Linked Policies service tax and education cess will
be deducted through cancellation of units as per prevailing laws and regulations. Avoid the inconvenience of needing to remember due dates or standing in queues to
pay your premium by signing up for ECS or SI for auto debit of premium from your bank account. To know more visit exidelife.in or your nearest Exide Life Insurance
Office. As per Government of India directive, if you are holding single or multiple policies where your aggregate premium payment for the financial year is 50,000 or
above, please submit PAN card or form 60 / form 61 as applicable. Please ignore if you have already submitted the documents. If payment has been made by
cheque,ECS, Standing Instructions, Online the continuation of cover under this policy and the validity of this receipt is subject to realization of the payment. Revival of
policies is subject to Under writing guidelines and other regulations of Exide Life Insurance Company Limited.

In case of ULIP Policies: the investment risk in investment portfolio is be borne by the policyholder. For premiums received after 3:00 PM, the NAV of next business day
will be applicable. For ULIP Policies the premium paid is subject to investment risks associated with capital markets and the NAVs of the units may go up or down based
on the performance of fund and factor influencing the capital market and the insured is responsible for his/her decisions.
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Exide Life Insurance Company Limited is a wholly owned subsidiary of Exide Industries Limited. The trademark "Exide" is owned by Exide Industries Limited and licensed to Exide
Life Insurance vide Trademark license agreement dated 30th October 2014.IRDAI Registration No. 114, CIN: U66010KA2000PLC028273.

IRDAI Notice: Beware of spurious phone calls and fictitious/ fraudulent offers. IRDAI clarifies to public that IRDAI or its officials do not involve in activities like sale of any
kind of insurance or financial products nor invest premiums. IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police
complaint along with the details of phone call number.

Call : 1800 419 8228 (TOLL FREE); +91 80 4134 5444 Email : customer.service@exidelife.in Visit : exidelife.in
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Registered Office: Exide Life Insurance Company Limited, 3rd Floor, JP Techno Park, No.3/1, Millers Road, Bengaluru - 560 001.
(Formerly ING Vysya Life Insurance Company Limited) IRDAI Registration No. 114 CIN: U66010KA2000PLC028273