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PREMIUM RECEIPT

Receipt No.: 160734075AUG2405 Receipt date: 30-AUG-2024


PERSONAL DETAILS

Policy no.: 160734075 Mobile No: 9944587288


Policyholder's name: Mr. Vivekkumar Viswanathan E-mail ID: vivekkumarmechanical@gmail.com
Address: NO 13,3 ,3RD CROSS CANARA BANK COLONY, SRINIVASA
PAN: AJFPV6649E
NAGAR NORTH
6TH MAIN ROAD Customer GSTIN: Not Available
Tiruchirappalli - 620017 Current residential state: Tamil Nadu
Tamil Nadu India

POLICY DETAILS

Life insured: Mr. Vivekkumar Viswanathan Premium payment term : Regular


Plan name: Max Life Smart Secure Plus Plan Date of maturity: 30-APR-2076
Policy commencement date: 30-APR-2024 Modal premium (including GST): Rs 1,182.73
Policy term: 52 Years Premium received (including GST): Rs 1,182.73
Premium payment frequency: Monthly Late payment fee (including GST): Rs 0.00

CONNECT WITH US

Life advisor: Internet Sales


Life advisor contact:

GST DETAILS
Coverage Taxable SGST/UTGST CGST IGST
type value Rate Amount Rate Amount Rate Amount
Base Rs 1,002.33 NA Rs 0.00 NA Rs 0.00 18 Rs 180.42
Rider Rs 0.00 NA Rs 0.00 NA Rs 0.00 18 Rs 0.00
Late payment Rs 0.00 NA Rs 0.00 NA Rs 0.00 18 Rs 0.00
Total GST value: R180.42
GSTIN: 06AACCM3201E1Z7 GST registered state: Haryana SAC code: 997132

Total Sum Assured of base plan Premium received Duration for which the Next premium due date
and term rider (if any) (including GST)* premium is received

30-AUG-2024 to 29-
` 50,00,000.00 ` 1,182.73 SEP-2024 30-SEP-2024

.
*Important Note:
For payment mode other than in cash, this receipt is conditional upon the credit in our account. Payment of premium amount does not constitute commencement of risk. The risk
.. commencement starts after acceptance of risk by us.
Amount received would be adjusted against the due premium as per terms and conditions of the policy.
Premiums may be eligible for tax benefits under section 80C/80CCC/80D/37(1) of the income Tax Act 1961. Kindly consult your tax advisor for more information. Tax benefits are liable to
. change due to changes in legislation or government notification.
GST shall comprise CGST, SGST / UTGST or IGST (whichever is applicable) including cesses and levies, if any as per prevailing laws and shall be borne by you. For GST purposes, this
premium receipt is Tax invoice. Assessable Value in GST is premium as reduced by amount allo-cated for investment (if applicable). In other scenarios, assessable value for Endowment First
.. Year is 25%, Renewal Year is 12.5%,Single Premium Annuity is 10%, Term and Health is 100%. Currently base GST rate is 18% apart from Cess in some states.
I/We hereby declare that though our turnover is more than the turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the said sub-rule.
Whether the tax is payable on reverse charge basis - No.

PRM21V14 03092024 PRODUCT UIN: 104N118V08


Authorised Signatory E.&O.E

Important: DO NOT believe in calls, SMS, E-mails offering discounts. For NEFT Payments, please transfer only to " HSBC Bank A/C No. 1165 <Followed by 9 digit Policy No>
IFS Code: HSBC0110002". Max Life does not collect Premium in any other account.
Max Life Insurance Co. Ltd.: Plot N0. 90 C, Sector 18, Udyog Vihar, Gurugram, Haryana - 122 015.
Regd. Office: 419, Bhai Mohan Singh Nagar, Railmajra, Tehsil Balachaur, District Nawanshahr, Punjab - 144 533.
Fax: 0124-4159397 ,CIN: U74899PB2000PLC045626 | Customer Helpline Number: 1860 120 5577 IRDAI Registration. No. 104
BEWARE OF SPURIOUS / FRAUD PHONE CALLS!
. IRDAI is not involved in activities like selling insurance policies, announcing bonus or Investment of premiums
. Public receiving such phone calls are required to lodge a police complaint

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