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    80D Certificate

    Uploaded by

    D Kesava Rao
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy. It certifies that D KESAVA RAO paid Rs 11,889 for policy number P/161130/01/2020/017764, which provides hospitalization coverage from July 21, 2019 to July 20, 2020. The payment was received via cheque/credit/debit card on July 19, 2019. The certificate must be surrendered if the policy is cancelled or altered.

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    © All Rights Reserved
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    80D Certificate

    Uploaded by

    D Kesava Rao
    3K views1 page
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy. It certifies that D KESAVA RAO paid Rs 11,889 for policy number P/161130/01/2020/017764, which provides hospitalization coverage from July 21, 2019 to July 20, 2020. The payment was received via cheque/credit/debit card on July 19, 2019. The certificate must be surrendered if the policy is cancelled or altered.

    Original Title

    55080435_80D_CERTIFICATE

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    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy. It certifies that D KESAVA RAO paid Rs 11,889 for policy number P/161130/01/2020/017764, which provides hospitalization coverage from July 21, 2019 to July 20, 2020. The payment was received via cheque/credit/debit card on July 19, 2019. The certificate must be surrendered if the policy is cancelled or altered.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3K views1 page

    80D Certificate

    Uploaded by

    D Kesava Rao
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy. It certifies that D KESAVA RAO paid Rs 11,889 for policy number P/161130/01/2020/017764, which provides hospitalization coverage from July 21, 2019 to July 20, 2020. The payment was received via cheque/credit/debit card on July 19, 2019. The certificate must be surrendered if the policy is cancelled or altered.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Hospitalisation Benefit Policy

    Premium Certificate for the purpose of deduction under Section 80 D of Income Tax (Amendment) Act,1986

    Policy No : P/161130/01/2020/017764 Type of Policy : Family Health Optima Insurance


    Issue Office : 161130 - Branch Office - Gurgaon III - 2017
    Address : Ist Floor,, SCO 4, Sector 14 Market
    Near Payal Cinema, Gurgaon
    Gurgaon-122001
    Tel / Fax : 0124-4797452 /
    Email : gurgaon3@starhealth.in

    This is to certify that D KESAVA RAO has paid Rs 11889(Total Premium : Indian Rupees Eleven Thousand Eight Hundred
    Eighty-Nine Only ) towards Premium for Hospitalization Insurance vide Policy No: P/161130/01/2020/017764 for the Period
    21/07/2019 To 20/07/2020 issued on 19-JUL-19.Payment received by Cheque/Credit/Debit Card vide Receipt No: 1439020184
    Receipt Date: 19-JUL-19

    Note :- This Certificate must be surrendered to the Insurance Company for issuance of fresh Certificate in case of Cancellation
    of the Policy or any alteration in the Insurance affecting the Premium.

    Date : 02/01/2020 For and On behalf of

    Place : Gurgaon Star Health and Allied Insurance Company Ltd

    IRDA Regn. No 129


    Corporate Identity Number U66010TN2005PLC056649

    Email ID : info@starhealth.in Authorised signatory.

    CN=R Margabandhu,

    R Margabandhu
    SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b15
    475488cdf3b2c3c26c3c9, ST=TAMIL NADU, OID.2.5.4.17=600034,
    OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806
    ca65f89e15179f5fe50a, OU=UNDERWRITING - Chief Risk Officer,
    O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN.
    Date :Thu Jan 02 10:19:49 IST 2020

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll
    Free No:1800-425-2255 / 1800-102-4477,CIN :U66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129

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