Version:1.

3_(24/08/09)

lakhveer.c@gmail.com
Delhi (UT) 151502 ..
lakhveer.c@gmail.com
Delhi (UT) 151502Budhlada
03 Mar 2011
RENEWAL PREMIUM RECEIPT HNO 229 Harigarh.. Basti

Life Assured: Ms. Kiran Bala ..

Proposer: Ms. Kiran Bala ..
D/o Sh Om Parkash Start early and retire comfortably.
HNO 229 Harigarh Basti Secure your life post retirement. Presenting
.. LifeStage Pension Advantage from ICICI Prudential.
Budhlada For more information, SMS 'NUMBER' to 57827.
Delhi (UT)
151502 Date of Receipt Policy Status UIN *
Tel.No. :- 01652-250375 In Force
03/03/2011 105L100V01
Cheque Number Cheque Date Receipt Number Name of Bank
60850008
Policy Number Plan Name
13363930 ICICI Pru LifeStage Pension Ad
Due Date
Benefits Amount
From To
31/01/2011 31/01/2012 ICICIPru LifeStage Pension Adv 25000.00

Total 25000.00

Tax benefits would be available as follows: Life Insurance Policy u/s 80c, *Interest on late payment will be charged
Pension Policy u/s 80CCC, Health Riders (if any) u/s 80D. Tax benefits @ 0.00 p.a. compounded half-yearly
would be as per prevailing Income Tax laws. Service Tax and Education
Cess extra as applicable. Servce Tax Details: Category of Service: Life Your next due date is : 31/01/2012
Insurance Service. Registration NO: MIV/ST/IAS-LIFE/1;
PAN BASED STC NO:AAACI7351PST001 Balance in Deposit 0.00

Mudrank No.: CONSOLIDATED REVENUE STAMP DUTY PAID : NOTIFICATION NO - MUDRANK 0715/21451/CR-322/M1-23/08/2010
* UIN - Unique Identification No. Specified by IRDA.
If the payment has been made other than in cash, this receipt is conditional upon the credit in company's account post clearance of
the instrument/facility including electronic modes. This is a computer generated advice and does not require any signature.

Going Green - Committed to saving paper for a greener future: Effective Aug '09, customers on monthly premium paying
frequency will receive their printed receipts on a quarterly basis. The monthly receipts will be emailed to the registered email id
and will also be available on www.iciciprulife.com

ICICI Prudential Life Insurance Company Limited.

Communication Address:Vinod Silk Mills Compound,Chakravarthy Ashok Road, Ashok Nagar,Kandivali(E), Mumbai-400 101
Registered Office: ICICI Prulife Towers,1089, Appasaheb Marathe Marg,Prabhadevi,Mumbai-400 025