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    R Margabandhu: IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID: Info@starhealth - in

    Uploaded by

    Himanshu Agarwal
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy held by TANUJ SINGHAL. The certificate confirms that Rs. 19,417 was paid towards the premium for the policy covering the period from September 15, 2020 to September 14, 2021. It also provides the policy number, issue office details, and notes that the certificate must be surrendered for a fresh one in case of any policy cancellation or alteration affecting the premium.

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    R Margabandhu: IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID: Info@starhealth - in

    Uploaded by

    Himanshu Agarwal
    552 views1 page
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy held by TANUJ SINGHAL. The certificate confirms that Rs. 19,417 was paid towards the premium for the policy covering the period from September 15, 2020 to September 14, 2021. It also provides the policy number, issue office details, and notes that the certificate must be surrendered for a fresh one in case of any policy cancellation or alteration affecting the premium.

    Original Title

    71650749_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 held by TANUJ SINGHAL. The certificate confirms that Rs. 19,417 was paid towards the premium for the policy covering the period from September 15, 2020 to September 14, 2021. It also provides the policy number, issue office details, and notes that the certificate must be surrendered for a fresh one in case of any policy cancellation or alteration affecting the premium.

    Copyright:

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

    R Margabandhu: IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID: Info@starhealth - in

    Uploaded by

    Himanshu Agarwal
    This document is a premium certificate issued by Star Health and Allied Insurance Company Ltd for a Family Health Optima Insurance policy held by TANUJ SINGHAL. The certificate confirms that Rs. 19,417 was paid towards the premium for the policy covering the period from September 15, 2020 to September 14, 2021. It also provides the policy number, issue office details, and notes that the certificate must be surrendered for a fresh one in case of any policy cancellation or alteration affecting the premium.

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    © All Rights Reserved
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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/221113/01/2021/006424 Type of Policy : Family Health Optima Insurance


    Issue Office : 221113 - Branch Office - Ajmer - 2017
    Address : 3rd Floor, Amar Plaza Complex,
    Near Bajrang Garh Circle, Ajmer-305001(Raj.)

    Tel / Fax : 0145-2621114 / 15, 0145-2621116 / 17 /18 / 0141 - 4070511


    Email : ajmer.bo@starhealth.in

    This is to certify that TANUJ SINGHAL has paid Rs 19417(Total Premium : Indian Rupees Nineteen Thousand Four Hundred
    Seventeen Only ) towards Premium for Hospitalization Insurance vide Policy No: P/221113/01/2021/006424 for the Period
    15/09/2020 To 14/09/2021 issued on 14-SEP-20.Payment received by Cheque/Credit/Debit Card vide Receipt No: 1257006992
    Receipt Date: 14-SEP-20

    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 : 14/09/2020 For and On behalf of

    Place : 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 :Mon Sep 14 13:08:59 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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