PREMIUM ACKNOWLEDGEMENT RECEIPT Product Name Sales Representative Code Payment Mode Retire Smart 990960695 UIN No 111L094V02 Sales Representative Name SHARADA T Online This is to acknowledge the successful payment for your SBI Life - Retire Smart Proposal. The details are as follows : Proposer Name Proposal No. Transaction Date Transaction Reference No. Quotation No Installment Premium Mr. SANJEEV GUDDANAGOUDA PATIL 1HNC433090 21-12-2020 VHMP9580803988 OL1H00099096069521122020120709 100000 Term 10 Sum Assured 0 Frequency Proposal Deposit Paid Transaction Status Yearly Rs. 100000 ( Rupees ONEHUNDREDTHOUSAND Only ) Success •Please quote your proposal number in your future communications along with Quotation Number. •This acknowledgement is electronically generated and does not require any signature. •Please note that this acknowledgement is for your reference only and cannot be used as a valid proof to avail tax rebate under Sec 80C/sec 80CCC of Income Tax Act, as applicable. •Insurance Cover would commence only on acceptance of risk by SBI Life & issue of the policy contract by SBI Life from the date indicated herein. •The amount held in proposal deposit does not earn nay interest. •GST is applicable for the J&K policies as mandated by the Govt. of J&K. •In case of any doubt or clarification, please call our toll free number : 1800 267 9090