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    Premium Certificate Financial Year 2020-2021 To Whomsoever It May Concern

    Uploaded by

    madhu
    This document is a premium certificate from Kotak Life Insurance confirming receipt of premiums for policy number 09863498. It provides details of the plan - Kotak Platinum (UIN-107L067V03) - and premium amounts paid. Additional premiums of Rs. 17,000 are due on the 28th of February and 31st of March 2021 on a monthly frequency. It also includes a payment history for the policy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Premium Certificate Financial Year 2020-2021 To Whomsoever It May Concern

    Uploaded by

    madhu
    48 views2 pages
    This document is a premium certificate from Kotak Life Insurance confirming receipt of premiums for policy number 09863498. It provides details of the plan - Kotak Platinum (UIN-107L067V03) - and premium amounts paid. Additional premiums of Rs. 17,000 are due on the 28th of February and 31st of March 2021 on a monthly frequency. It also includes a payment history for the policy.

    Original Description:

    Fgf

    Original Title

    600040_67674348_PRC

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    This document is a premium certificate from Kotak Life Insurance confirming receipt of premiums for policy number 09863498. It provides details of the plan - Kotak Platinum (UIN-107L067V03) - and premium amounts paid. Additional premiums of Rs. 17,000 are due on the 28th of February and 31st of March 2021 on a monthly frequency. It also includes a payment history for the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    48 views2 pages

    Premium Certificate Financial Year 2020-2021 To Whomsoever It May Concern

    Uploaded by

    madhu
    This document is a premium certificate from Kotak Life Insurance confirming receipt of premiums for policy number 09863498. It provides details of the plan - Kotak Platinum (UIN-107L067V03) - and premium amounts paid. Additional premiums of Rs. 17,000 are due on the 28th of February and 31st of March 2021 on a monthly frequency. It also includes a payment history for the policy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    02-03-2021

    Premium Certificate
    Financial Year 2020-2021
    To whomsoever it may concern
    R. Sangathamil
    No.74 Atreya Flats
    11th Main Road Annanagar
    Chennai
    Tamil Nadu
    Bpcl Staff Colony
    Pin: 600040
    Phone1: 09841686044
    Phone2: 09841686044

    Client ID: 67674348

    This is to confirm that we have received premium(s) from the above named Policy holder under the Policy No (s) as
    per details given below

    Policy No: 09863498


    Cess, as
    Plan Component Premium(A) S.Tax/GST(B)*
    applicable(C)*

    Kotak Platinum (UIN-107L067V03) 170000 110.42 -

    Premiums are eligible for tax deduction under Section 80C/80CCC of Income Tax Act, 1961. Tax laws are subject to
    change from time to time.Please consult your tax advisor for implications.

    Additional Premium due for Financial Year 2020-2021

    Policy Plan Component Premium Due Premium Due Date Frequency

    09863498 Kotak Platinum (UIN-107L067V03) 17000 28-Feb-2021 Monthly

    09863498 Kotak Platinum (UIN-107L067V03) 17000 31-Mar-2021 Monthly

    Notes:
    1 Goods and Services Tax and Cess, as applicable is levied at the tax rates in force which is subject to changes from
    time to time.
    2 Goods and Services Tax category: Life Insurance Services and Management of Investment under ULIP Services.
    3 Goods and Services tax is applicable from 1st July' 2017.
    4 This is a computer generated advice and does not require any signature.
    5 In order to abide by the Foreign Account Tax Compliance Act (FATCA), kindly submit Insurance FATCA
    Declaration, separately, if the answer to any of these questions is a `yes': (i) Are you a citizen of any other country
    apart from India (dual or multiple citizenship); (ii) Are you a resident (for tax purposes) of any other country other
    than India; (iii) Do you hold a green card of USA or any similar card for any other country?
    It is mandatory for you to report any future changes in your tax status to Kotak Life Insurance within 30 days of such
    change. Until we receive a written intimation about any such change, we shall presume that there is no change in
    your tax residency status and consider your earlier submitted declarations, if any, as valid. For any queries about
    your tax residency, please contact your tax advisor.

    1
    02-03-2021

    Premium Payment History

    Policy No Receipt No Paid Date Paid Amount Frequency

    09863498 BK800590 02-Mar-2021 17000 MONTHLY

    09863498 BK668756 02-Feb-2021 17000 MONTHLY

    09863498 BK529076 01-Jan-2021 17000 MONTHLY

    09863498 BK365358 01-Dec-2020 17000 MONTHLY

    09863498 BJ939401 02-Nov-2020 17000 MONTHLY

    09863498 BJ817856 01-Oct-2020 17000 MONTHLY

    09863498 BJ673421 01-Sep-2020 17000 MONTHLY

    09863498 BJ547161 03-Aug-2020 17000 MONTHLY

    09863498 BJ416881 01-Jul-2020 17000 MONTHLY

    09863498 BI388904 02-Jun-2020 17000 MONTHLY

    09863498 BI985159 04-May-2020 17000 MONTHLY

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