Premium Paid Certificate

Date : 10-JAN-2007

Mrs KAVITHA MEHRA

Apt #304, 3rd Floor
I Block, Harsha Meadows
S G Palya
C V RAMAN NAGAR
Post Banglore - 560093
KARNATAKA
TEL : 08055358495 / 919845542012

Ref: Policy No. 000631675

Your policy details are as below

Policy Issue Date : 28-MAR-2006
Payment Mode : Quarterly

Modal
Face Amount
Coverage Premium Coverage Status
(Rs.)
(Rs.)
Premium paying
Flexi Lifeline(Whole Life) 128000.00 2494.08
(regular)
Accidental Death & Premium paying
128000.00 53.76
Dismemberment Rider (regular)

This is to certify that the following amounts have been received towards premium for the above policy for the
period 01-APR-2006 to 10-JAN-2007.

Effective date of
Premium (Rs.)
deposit
04-JUL-2006 2,548.00
13-OCT-2006 2,600.00
06-JAN-2007 2,548.00
Total Received 7,696.00
Note

Income Tax Benefits under the Income Tax Act ,1961 for premiums paid towards Birla Sun Life Insurance products for
the current financial year:

a. For Flexi Secure life Retirement (Pension) Plan: Under Section 80 CCC (1), Contribution made to pension
fund upto a maximum of Rs.10,000/-.
b. For Critical Illness rider: Under Section 80D upto a maximum of Rs.10,000/-.
c. For all other products: Under Section 80C, annual premium only to the extent of 20% of the face amount of the
policy.
d. The overall limit prescribed for Section 80C, Section 80CCC and Section 80CCD is Rs. 1,00,000/-.

This letter is based on our understanding of current tax laws prevailing in India. These laws are subject to change and
any such change could have a retrospective effect. This letter should not be construed as tax, legal or investment
opinion from us. For specific suitability, you are requested to consult your tax advisor.

THIS IS A COMPUTER GENERATED STATEMENT AND DOES NOT REQUIRE A SIGNATURE