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PREMIUM PAYMENT ACKNOWLEDGEMENT Dear Gopavarapu Raghavendra Rao, Thank you for paying your premium on www.iciciprulife.com on 19-Feb-2016. The transaction details: Transaction Number Policy Number Policy Name Premium Amount Paid in Rs. Payment Mode Card / Bank Name 10596457 13515305 ICICI Pru Assure Wealth - Super 30000.0 Net Banking ICICI Bank Your premium receipt will be emailed to your registered email id within 1 working day.If you have paid an advance premium, your premium receipt will be generated after one working day of your premium due date. In case of any clarifications, please get in touch with us at any of the contact points mentioned below. Yours sincerely, ICICI Prudential Life Insurance CONTACT US Customer Service Helpline Email us at Visit us at 1-860-266-7766 [email protected] www.iciciprulife.com Please note: This is not a Premium Receipt, it is proof of payment made. The Premium Receipt will be generated after the payment is received and applied to your policy. ICICI Prudential Life Insurance Co. Ltd. is not liable for any consequences arising from incorrect information provided while making a payment. This is an electronic statement and does not require any signature. © 2015, ICICI Prudential Life Insurance Co. Ltd. Registered Address: ICICI Pru Life Towers, 1089, Appasaheb Marathe Marg,Prabhadevi, Mumbai-400025. IRDAI Regn No. 105. CIN: U66010MH2000PLC127837. Insurance is the subject matter of the solicitation. For more details on the risk factors, terms and conditions, please read the policy document carefully. Call us on 1-860-266-7766 (Valid for calls made from India) and on 91-22-6193-0777 (Valid for calls made outside India) (10am-7pm (IST), Monday to Saturday, except national holidays). You will not be able to reply to this mail, if you do not wish to receive this series of mail, clickhere to unsubscribe or enter your details here .Comp/doc/Jan/2014/1074 BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS IRDAI clarifies to public that • IRDAI or Its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums. • IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.

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Page 1: Premium Paid Acknowledgement

PREMIUM PAYMENT ACKNOWLEDGEMENT

Dear Gopavarapu Raghavendra Rao,

Thank you for paying your premium on www.iciciprulife.com on 19-Feb-2016.

The transaction details:

TransactionNumber

Policy Number Policy Name PremiumAmount Paid in

Rs.

Payment Mode Card / BankName

10596457 13515305 ICICI Pru AssureWealth - Super

30000.0 Net Banking ICICI Bank

Your premium receipt will be emailed to your registered email id within 1 working day.If you have paid an advance premium,your premium receipt will be generated after one working day of your premium due date.

In case of any clarifications, please get in touch with us at any of the contact points mentioned below.

Yours sincerely,

ICICI Prudential Life Insurance

CONTACT US

Customer Service Helpline Email us at Visit us at1-860-266-7766 [email protected] www.iciciprulife.com

Please note:

• This is not a Premium Receipt, it is proof of payment made. The Premium Receipt will be generated after thepayment is received and applied to your policy.

• ICICI Prudential Life Insurance Co. Ltd. is not liable for any consequences arising from incorrect information providedwhile making a payment.

• This is an electronic statement and does not require any signature.

© 2015, ICICI Prudential Life Insurance Co. Ltd. Registered Address: ICICI Pru Life Towers, 1089, Appasaheb Marathe Marg,Prabhadevi, Mumbai-400025. IRDAI Regn No. 105. CIN:U66010MH2000PLC127837. Insurance is the subject matter of the solicitation. For more details on the risk factors, terms and conditions, please read the policy document carefully. Callus on 1-860-266-7766 (Valid for calls made from India) and on 91-22-6193-0777 (Valid for calls made outside India) (10am-7pm (IST), Monday to Saturday, except national holidays). Youwill not be able to reply to this mail, if you do not wish to receive this series of mail, clickhere to unsubscribe or enter your details here .Comp/doc/Jan/2014/1074

BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS

IRDAI clarifies to public that

• IRDAI or Its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums.

• IRDAI does not announce any bonus. Public receiving such phone calls are requested to lodge a police complaint along with details of phone call, number.