PSRV41910031101212

Comp/Aug/Int/1372

03 Jan 2022

Sandeep Kumar Dubey

Annual Premium Statement

Dear Sandeep Kumar Dubey,

Greetings from HDFC Life! We certify that the premium(s) amount mentioned below have been received towards your insurance policies held with HDFC Life
Insurance Company Limited (Formerly HDFC Standard Life Insurance Company Limited) for the period 01/04/2021 to 31/03/2022.

SUMMARY
Client Id: G4960111
Policy No Life Assured Plan Name Status Payment Frequency Benefit Opted For Premium Paid (Rs.) Tax Benefit
Mr. Sandeep HDFC Life Click 2 Invest - HDFC Life Click2Invest - ULIP Death 50000 Section 80C
20112525 In Force Monthly
Kumar Dubey ULIP Benefit

ADVANCE PREMIUM PAYMENT TOTAL TAX BENEFIT available under Income Tax Act, 1961
Policy No. Premium Amount (Rs.) Section Premium Paid (Rs.)
20112525 0 Section 80C 50000

Notes:
 For details, please refer to the next page.
 The policy status is as on the date of generation of this statement and does not necessarily reflect the current status at a later date.
 The tax benefits mentioned in this statement are as per the prevailing tax laws and are subject to change. Further, the tax b enefits mentioned should not be
construed as tax advice. Please consult your tax advisor for advice on tax benefits.
 In case of any discrepancy found in the content or for any queries or clarification, please contact your HDFC Life Financial Consultant or c ontact us at any of the
touch points mentioned in the footnote.

Authorised Signatory-HDFC Life

************************* This is an electronically generated statement and does not require a physical signature *************************

HDFC Life Insurance Company Limited (Formerly HDFC Standard Life Insurance Company Limited)
CIN:L65110MH2000PLC128245. IRDAI Registration No. 101.
Correspondence Address: Lodha Excelus, 11th Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Regd Off:Lodha Excelus, 13th Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Helpline No.18602679999(Local charges apply).DO NOT prefix any country code e.g. +91 or 00.Available Mon-Sat from 10 am to 7 pm | Email - [email protected] |
[email protected] (For NRI customers only) | Visit -www.hdfclife.com
 Detailed Premium Payment Statement for the period 01/04/2021 to 31/03/2021 as on 03 Jan 2021

Client Id : G4960111

Premium Paid
Policy No. Life Assured Receipt No. Date Payment Mode Other Details
(Rs.)
Mr. Sandeep Kumar Dubey I2714179 02/01/2022 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H9570969 16/12/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H9269655 17/11/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H8574681 17/10/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H7368404 17/09/2021 Online credit/debit card pymt 5000
20112525 Mr. Sandeep Kumar Dubey H6244003 17/08/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H3429106 16/07/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H2706760 17/06/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H1596203 20/05/2021 Online credit/debit card pymt 5000
Mr. Sandeep Kumar Dubey H0384687 20/04/2021 Online credit/debit card pymt 5000

********************************* End Of Statement *********************************

HDFC Life Insurance Company Limited (Formerly HDFC Standard Life Insurance Company Limited)
CIN:L65110MH2000PLC128245. IRDAI Registration No. 101.
Correspondence Address: Lodha Excelus, 11th Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Regd Off:Lodha Excelus, 13th Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Helpline No.18602679999(Local charges apply).DO NOT prefix any country code e.g. +91 or 00.Available Mon-Sat from 10 am to 7 pm | Email - [email protected] |
[email protected] (For NRI customers only) | Visit -www.hdfclife.com