Policy No : 51851928

Name : RAVI SHANKAR N

Address : 9/5 Transaction Date : 31-Oct-2019
KRISHNAMURTHY STREET
PANDIAN DEPT STORE Transaction ID : G7635237
WEST MAMBALAM CHENNAI
TAMIL NADU
600033
Customer Contact No. : 9940351580

Subject: We have recieved your premium 01

Dear RAVI SHANKAR N,

We hereby certify the receipt of the premium payment towards your life insurance policy with us, through Electronic Clearance Service (ECS).
We congratulate you for ensuring your family's continued security and peace of mind.

Policy No. Plan Name Frequency Installment Premium

51851928 Reliance Guaranteed Money Back Yearly 24792

CONSOLIDATED REVENUE STAMP DUTY OF RE.1/- PAID VIDE NOTIFICATION NO: MUDRANK CSD/409/2019/1679/19: DATED 08.04.2019

Terms and Conditions

1. Premiums are eligible for tax deduction under Section 80C/80CCC of Income Tax Act, 1961 as amended from time to time. Tax
laws are subject to change from time to time. 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. Reliance
Nippon Life Insurance Company Limited reserves the right to recover from the policyholder, any levies and duties (including
CST), as imposed by the government 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
Call us : 1800 102 1010 (Toll Free) between 9am to 6pm(Monday to Saturday)
CIN: U66010MH2001PLC167089
Renewal premium receipt/Ver 1.1 /Oct2019 A Reliance Capital Company