Consolidated Premium Certificate

Policy No : 10369696

Name : MR PUNNI SRI HARSHA

LINGAM

Address : DD NO 25-9/9
NR PET
ELURU W G PIST

ANDHRA PRADESH

Pin Code : 534002

Customer Contact No. : 9740534693

This is to state that MR PUNNI SRI HARSHA LINGAM is having 10369696 for which premium payment frequency is MONTHLY . The
premium schedule for FY 2019 - 2020 is as given below,

Particular From Apr 2019 to Mar 2020

Total premium due for the current Financial Year 7,447.92
Premium/s paid in the current Financial Year 6,135.00
Premium/s payable for the current Financial Year 1,312.92

We congratulate you for ensuring your family’s continued security and peace of mind.

Terms and Conditions

1. Premium payments are eligible for income tax benefits as (i) Life Insurance Policy u/s 80C, (ii) Pension u/s 80CCC, (iii) Health
Policy / Health Rider (if any) u/s 80D subject to the conditions mentioned in the respective sections. Please consult your tax
advisor for implications .
2. Goods and Services Tax as applicable are levied at the tax rates in force which is subject to changes from time to time.
3. For ULIP products, in respect of premium received up to 3 pm by the Company, the closing NAV of the business day on which
premium is received shall be applicable. In respect of premium received after 3 pm by the insurer the closing NAV of the next
business day shall be applicable
4. Premium paid in advance will be applied to the policy on premium due date only.
5. This is system generated receipt, hence does not require signature.

You have an option of receiving proceeds of all claims/ maturity payments/ any other sum due, under the life insurance policy, to
you or your nominees or assignees, only through electronic mode directly in your bank account. In case, you have already opted for
electronic transfer to your bank account, you also have an option to modify/ change your bank account particulars.

Reliance Nippon Life Insurance Company Limited.(Reg. No. 121)

Corporate Office: 5th Floor, South Wing Reliance Centre, Off Western Express Highway, Santacruz East, Mumbai - 400 055.
Registered Office: 'H' Block, 1st Floor, Dhirubhai Ambani Knowledge City, Kopar Khairane, Navi Mumbai - 400710, Maharashtra, India
T +91 22 3303 1000 / F +91 22 3303 5662 | rnlife.customerservice@relianceada.com | www.reliancenipponlife.com
CIN: U66010MH2001PLC167089
PS/Consolidated Premium statement /Ver1.1/Nov 2018 A Reliance Capital Company