Renewal Premium Receipt - ULIP

Receipt No : HDE/26805678 Receipt Date : 31/03/2019

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 Margam Srinivas
Assignee : NA

Policy Details
UIN: 111L095V01 Sum Assured: 9,90,000.00
Policy Number: 1K016938708 Channel: Bancassurance
Plan: SBI Life Smart Wealth Builder LP Distributor Name: Mrs Usha Sanjay Kasturiwar
Date of Commencement: 31/03/2015 Channel Code: 990447706
Premium Frequency: Annually Payment Type: Regular
Policy Term: 10 Total Premium: 99,000.00
Premium Paying Term: 5

Received with thanks Rs.99,000.00/- (Rupees ninety nine thousand only) by way of SIEFT-CMP

Total Premium Allocated(Rs.) 99,000.00

Less:- Allocation Charges(Rs.) 5940.0
Less:- GST on Charges(Rs.) 1069.2
CGST: 534.6 SGST/UGST: 534.6 IGST: 0.0
Net Invested Amount(Rs.) 91990.8

NEXT PREMIUM DUE DATE : 00/00/0000

UNIT ALLOCATION STATEMENT

Opening Balance Amount Invested Closing Balance
Fund Name SFIN NO NAV Units Fund % Units Fund Units Fund Value
Value Value
SBI Life Bond Fund ULIF002100105BONDULPFND111 32.6225 15904.17 426843.0 100.0 2819.86 91990.8 15904.17 518833.81
1
Total 426843.0 100 91990.8 518833.81
1

Authorized Signatory

Notes:
- 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. SAC Code of Life Insurance Service 991732
- 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.
-

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 - www.sbilife.co.in & Email at info@sbilife.co.in
Toll free no. : 1800 22 9090 (Customer Service Timings: 9:00 a.m. to 9:00 p.m.)