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RENEWAL PREMIUM RECEIPT

Receipt No: ASI66342 Client ID: 50373436 Date: 19/01/2009


Policy No: 10164963 Plan Description: HDFC Savings Assurance Plan

Mr. Prakash Chand Gupta


C -6/65 Yamuna Vihar First Flr
Delhi - 110053
01122913313

Dear Mr. Prakash Chand Gupta


Life Assured : Mr. Prakash Chand Gupta

We acknowledge with thanks, receipt of an amount of Rs. ******12,000.00 by Direct Debit towards renewal premium.

Benefit Opted For Premium Received(Rs) Tax benefit available under the Income Tax Act, 1961
Savings Assurance Benefit 12,000.00 Section 80C
Service tax and levies 0.00

This receipt is valid subject to availability of free balance in your account given in the debit mandate submitted to us.
Renewal Premium Rs. 12,000.00
For HDFC Standard Life Insurance Company Limited
Total Amount Received Rs. ******12,000.00
Balance Amount adjusted Rs. ***********0.00
*This is an electronically generated duplicate premium Advance Payment received Rs. ***********0.00

receipt and does not require any signature Next premium due 19/01/2010
Premium payment frequency Annual
Service Tax Registration Number M-IV / ST / IAS - LIFE / 2

HDFC STANDARD LIFE INSURANCE COMPANY LIMITED


Correspondence Address: 5th Floor, Eureka Towers, Mindspace Complex, Link Road, Malad(West), Mumbai - 4 0 0 0 6 4 . F a x : 2 8 4 4 2 4 3 3 / 3 4
Regd. Office: Ramon House, H.T.Parekh Marg, 169, Backbay Reclamation, Churchgate, Mumbai 400 020.
Policy Servicing Helpline: 1 8 0 0 - 2 2 8 - 228 (Toll free - M T N L / B S N L ) / 1 8 0 0 - 2 0 9 - 7777(Toll Free - Any Phone) or 60007777(Local call - Non BSNL/MTNL)