Premium Payment Acknowledgment

Dear Atreya Chakroborty,

We thank you for giving us an opportunity to serve you on the Web Platform.

This is with reference to the Online Premium Payment submitted for Policy Number 18597813 under

Transaction ID: 6820804 , on 09-Feb-2017

Please note that as per your instruction the transaction of online premium payment is Success

Transaction Details
Net Premium Paid 1139.0
Mode of Payment Net Banking
Card Type -
Bank Name ICICI Bank
SI Opted NA

In case the transaction status is a success, kindly allow us one working day to generate the Premium
Receipt. The same can be downloaded from E-Statements > Premium Receipt section on the next working day.

In case of any further clarification or assistance required in this regards, kindly write back to us at
lifeline@iciciprulife.com

Note:
This is NOT A PREMIUM RECEIPT but only a proof of the payment made by Proposer.
The premium receipt shall be generated by ICICI Prudential Life Insurance Co. Ltd., subject to applying
renewal premium such a premium receipt may be used for claiming tax benefits.
This acknowledgment is conditional upon credit in company's account post clearance of the facility.
Proposer shall be solely responsible for correctness of the information provided to ICICI Prudential
Life Insurance Co. Ltd. for use of the facilities. ICICI Prudential Life Insurance Co. Ltd. does not
accept any liability for consequence arising from incorrect information provided by the Proposer.
This is a computer generated slip and does not require any signature.
For further clarifications please contact our customer service touch points. the details for which are
available at http://www.iciciprulife.com/public/Others/Call-us.htm

Thanks and Regards,

ICICI Prudential Life Insurance

ICICI Prudential Life Insurance Company Limited.

Communication Address:Unit No 2 B,Cts 480/1, Ground Floor, Raheja Tipco Plaza, Rani Sati Marg, Malad(E), Mumbai-400 097
Registered Office:ICICI Prulife Towers,1089, Appasaheb Marathe Marg,Prabhadevi,Mumbai-400 025
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