Renewal Premium Receipt - NON ULIP
Receipt No : CUN- Receipt Date : 13-07-2022 Invoice No.: MHI072200082010 Invoice Date.:13-07-2022
CHIPLUN/I00031458320
Mr. Parvez Shafi Burondkar Branch Details: CHIPLUN
SBI LIFE INSURANCE CO LTD
DIPTI TOWER, 1ST FLOOR, CHINCH NAKA,
SHIVAJI CHOWK, CHIPLUN
CHIPLUN
Place of Supply (State name & Code): MAHARASHTRA/27 MAHARASHTRA
GSTIN: N.A. GSTIN & State Name: 27AAFCS2530P1Z1 MAHARASHTRA/27
HSN CODE : 997132 HSN Description - Life Insurance Services
Please note that your servicing branch has shifted. The new address of your servicing branch is given above.
You may approach either your servicing branch or any of our other branches for all your servicing needs and premium payment.
Life Assured : Mr. Parvez Shafi Burondkar
Assignee : N.A.
Policy Details
UIN: 111N098V02 Policy Number: 1P635585102
Plan: SBIL - Smart Champ Insurance - LP Date of Commencement: 12-07-2018
Premium Frequency: Annual Channel: Agency
Policy Term: 20 Distributor Name: Mr. Sandesh R Devalekar
Premium Payment Term: 0 Channel Code: 990929729
Sum Assured: 515000.00 Payment Type: Renewal
Premium Details
Base Amount(Rs.) CGST(Rs.) SGST/UGST(Rs.) IGST(Rs.) Total Amount(Rs.)
Premium(Rs.) 28773.05 323.70 323.70 0.00 29420.45
Late Fees#(Rs.) 0.00
Previous Excess(Rs.) 0.00
Total Amt Payable(Rs.) 29420.45
Amount Received(Rs.) 29420.00
Current -0.45
Excess/Shortage(Rs.)
Received with Thanks Rs.29420.00/- (Twenty Nine Thousand Four Hundred Twenty Only.) by way of InstaPay
Next Premium Due Date : 12/07/2023
Authorized Signatory
Notes:
- #-Late fees is inclusive of GST if applicable.
- The validity of this receipt is subject to realization of cheque. The amount held in policy deposit does not earn any interest.
- In case of outstation cheques,allocation amount will be done on the date of adjustment of premiums or the realizatin of cheque whichver is later.
- GST Registration Number 27AAFCS2530P1Z1. HSN Code & Description: 997132 & Life Insurance Services
- As per GOI Notification, GST has been levied on your insurance policy @18% on premium or charges.(or as applicable) w.e.f. 01.07.2017 in the case of endowment
policy, the taxable value is 25% of the premium. Please refer SBI Life website for deails.
- In case of revival of the policy, the risk cover under the base policy and the rider covers, if any, will recommence from the date of revival. Any contingencies which may
have happened while the policy was lapsed will NOT be covered even if the claim is made or intimated after the policy has been revived.
- Consolidated Stamp duty paid vide Mudrank receipt no CSD/101/2021/2866 30-07-2021
SBI Life Insurance Company Limited
IRDAI Regn No. 111. CIN: L99999MH2000PLC129113.
Central processing Centre: 7th Level(D Wing) & 8th Level, Seawoods Grand Central, Tower 2 Plot No R-1, Sector 40, Seawoods, Nerul Node, Navi Mumbai-400706
Dist. Thane, Maharashtra, Website - [Link] & Email at info@[Link]
Toll free no. : 1800 267 9090 (Customer Service Timings: 9:00 a.m. to 9:00 p.m.)