PREMIUM PAID CERTIFICATE
01-Apr-2025 to 31-Mar-2026
Receipt date: 05-Feb-2026
PERSONAL DETAILS
Policy no.: 619680150 Address: C O D 1 300 5 Jaitpur Ex 2 South Delhi, 5
Policyholder's name: Mr. Chandan Kumar Tiwari South Delhi Jaitpur
Mobile No: ******6333 NEW DELHI - 110044
E-mail ID: chxxxxxxxxxxxx89@[Link] Delhi India
PAN: AMMPT5207C
POLICY DETAILS
Life insured: Mr. Chandan Kumar Tiwari Premium payment term (period for which
Plan name: Axis Max Life Online Savings Plan premium is to be paid): 10 years
Policy commencement date: 30-JAN-2024 Next due date: 28-FEB-2026
Policy term: 20 Years Date of maturity: 30-JAN-2044
Premium payment frequency: Monthly Rider sum assured: Rs 0.00
Payment received (including top-up)*: Rs 10,560.20 Base sum assured: Rs 1,26,721.70
CONNECT WITH US
Life advisor: M/S. Policy Bazaar Ins Broker Head Office
Life advisor contact:
IMPORTANT INFORMATION:
.. If the payment is made in any mode other than cash, this receipt would be conditional upon realization of the amount in our account
Amount received would be adjusted against the due premium as per the policy contract. In case the policy contract is lapsed, the risk coverage is subject to reinstatement as per terms and
. conditions of policy
Premiums may be eligible for tax benefits under section 80C / 80CCC / 80D / 37(1) of the Income Tax Act 1961. You are advised to seek an opinion of Tax advisor in relation to the applicable
.. tax benefits and liabilities. All applicable taxes if any cesses or any other taxes, charges, levies as per prevailing laws, shall be borne by you.
Applicable charges as per part E of the policy terms and conditions, would be charged from the fund value
. You may request a detailed policy account statement by writing to us at the below mentioned details.
I/We hereby declare that though our turnover is more than the turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the said sub-rule.
URM23V15 05022026 PRODUCT UIN: 104L098V05
Authorised Signatory E.&O.E
Axis Max Life Insurance Limited (formerly known as Max Life Insurance Company Limited) is a Joint Venture between Max Financial Services Limited and Axis Bank
Limited.
Important: DO NOT believe in calls, SMSes or e-mails offering discounts. For NEFT Payments, please transfer only to "HSBC Bank A/C No. 1165 <Followed by 9 digit Policy No>
IFS Code: HSBC0110002". Axis Max Life Insurance does not collect Premium in any other account.
Axis Max Life Insurance Limited (formerly known as Max Life Insurance Company Limited): Plot No. 90 C, Sector 18, Udyog Vihar, Gurugram, Haryana - 122 015.
Regd. Office: 419, Bhai Mohan Singh Nagar, Railmajra, Tehsil Balachaur, District Nawanshahr, Punjab - 144 533.
CIN: U74899PB2000PLC045626 | Customer Helpline Number: 1860 120 5577 IRDAI Registration. No. 104
BEWARE OF SPURIOUS / FRAUD PHONE CALLS!
.IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums
.Public receiving such phone calls are requested to lodge a police complaint
