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Premium Paid Certificate Mr Vaibhav Mishra Date : 09-JAN-2014

Ref: Policy No. 004341520 Your Policy details are as belowPolicy Issue Date : 21-AUG-2010Payment Mode : Monthly

Coverage Face Amount(Rs.)

ModalPremium (Rs.)

Coverage Status

BSLI Dream Endowment Plan 304000.00 669.16 Premium paying (regular)

Enhanced Sum Assured 2096000.00 331.87 Premium paying (regular)

This is to certify that the following amounts have been received towards premium for the above policy for theperiod 01-APR-2000 to 09-JAN-2014.

Effective Date ofDeposit

Premium (Rs.)

21-AUG-2010 2,002.06

11-OCT-2010 1,001.03

08-NOV-2010 1,001.03

08-DEC-2010 1,001.03

08-FEB-2011 1,001.03

10-MAR-2011 1,001.03

08-APR-2011 1,001.03

13-APR-2011 1,001.03

09-MAY-2011 1,001.03

08-JUN-2011 1,001.03

08-JUL-2011 1,000.99

21-AUG-2011 1,001.0709-SEP-2011 1,001.03

08-OCT-2011 1,001.03

11-NOV-2011 1,001.03

08-DEC-2011 1,001.03

09-JAN-2012 1,001.03

08-FEB-2012 1,001.03

09-MAR-2012 1,001.03

09-APR-2012 1,001.03

08-MAY-2012 1,001.0308-JUN-2012 1,001.03

09-JUL-2012 1,000.95

21-AUG-2012 1,001.03

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08-SEP-2012 1,001.03

08-OCT-2012 1,001.03

08-NOV-2012 1,001.03

08-DEC-2012 1,001.03

08-JAN-2013 1,001.03

08-FEB-2013 1,001.03

08-MAR-2013 1,001.03

08-APR-2013 1,001.03

08-MAY-2013 1,001.03

08-JUN-2013 1,001.03

11-JUL-2013 1,000.99

21-AUG-2013 1,001.07

09-SEP-2013 1,001.03

09-OCT-2013 1,001.03

08-NOV-2013 1,001.03

09-DEC-2013 1,001.03

Total Received 41,042.15

NoteIncome Tax Benefits under the Income Tax Act ,1961 for premiums paid towards Birla Sun Life Insurance products for thecurrent financial year: 1. For Flexi Secure life Retirement (Pension) Plan: Under Section 80 CCC (1), Contribution made to pension fund upto a

maximum of Rs. 1,00,000/-.2. For Critical illness rider under Section 80D for individual and HUF upto a maximum of Rs. 15,000/- and for senior

citizens aged 65 years above Rs. 20,000/-.3. For all other products: Under Section 80C, annual premium only to the extent of 20% of the face amount of the policy

subject to maximum of Rs. 1,00,000/-.4. The overall limit prescribed for Section 80C, Section 80CCC and Section 80CCD is Rs. 1,00,000/-.

5. For Health related policies and/or health related riders - The premium paid by you up to Rs.15,000 (Rs.20,000 forsenior citizens) per annum to insure yourself and/or spouse and dependent children , is eligible for tax benefit underSection 80D of the Income Tax Act, 1961. Additionally, the premium paid by you, upto Rs.15000 (Rs.20,000 for seniorcitizens), to insure your parent(s) , is eligible for tax benefit under Section 80D of the Income Tax Act, 1961. The abovebenefits may change as per the extant tax laws.

This letter is based on our understanding of current tax laws prevailing in India. These laws are subject to change and anysuch change could have a retrospective effect. This letter should not be construed as tax, legal or investment opinion fromus. For specific suitability, you are requested to consult your tax advisor. THIS IS A COMPUTER GENERATED STATEMENT AND DOES NOT REQUIRE A SIGNATURE