AVIVA Le Insurance Aviva Life neurnce Company nda Lid: Head Oc: Ave Tower, Sector Roa, Opp. Gol Course, OLF Phase V, Sector 43, Gurpao-122008| Te oat fo) zrote Fax sat) tae asrt2v0 July 07, 2010 Mr, Prakash Ravibhai Patel Product UN: 122L037vo01 ‘A415 Druvesh Duplex Bh Mangalya Hall New VIP Ring Road, ‘390022 RENEWAL PREMIUM RECEIPT FOR 30-Jun-2010 Fen [RGN Boreas Branch nt marager Cove an aoe Coe rosseaar Dae oun 2070 Payment Received from Mr, Prakash Raviibhai Patel on 30-Jun-2010 ‘Namo of Life Insured: Prakash Ravjibhai Patel Paley Datals Potcy Nanber LsPrsoseee Risk Commencement Date 30-Jun-2007 enti Teiz005 New Premium Due O9| ‘30-Dec-2010 Freqeney Fait Year Premium Mode 50. Prem Racaved wordy [Rupees Nine thousand ony Prem Received (in fge™ [ps sjo00.00 Your Fund Summary a3 on 30-Jun-2010 Fannane | Opsning Suance | Premium Atoestion | Toulunts [NAV [Fund vatves a] [ow 160.506 zs] vezzssol] 2 sao Total Fund van aon 303010 05 “Ege for bene a oppeabi unde Be prevaiing Icom Tv A 067 (Sano nee Sevce fy Hege No DeneSTArsrerce&Aaat2002) “sation er HAs pane ay ona wets maaan sa aa Tn ewan ‘spur OA Guinn, row ournon auton ede le en FE as on econ evan ‘Sesiat cera cathe socoesguner abet eneaon eae octane: 2 Assermn 100 he se Tat et 95% fe Lie ance Palen) Poste om ay Lil nan lew bax sams pode eet pale ‘55 fea eo anes Sl be ca scene te ranean tome sly pa (especie af wham Pema an m2 Py ee ‘hae win bw aon stra tor oe arbartr ob spleale 4s pw Seton 110M he tame Tak At 105 Tecan vale a your gene Fcy sal be x etme Cuenh mannan cara valve econ tect gam vr 5 Tarp ii aan mt he legion ar inn Aa ee ay ari ota wen eon a “Tn in computer generated stat bece dows not ogists ‘A goine Venture between Dabur Group and Riva Group ‘Aviva Lie surance Company India Ld. Registred Oc 2nd Foor Prakash Buking 7 Totoy Marg New Od-110 001 Ina