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    Premium Receipt

    Uploaded by

    kishanprasad

    Copyright:

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

    Premium Receipt

    Uploaded by

    kishanprasad
    327 views1 page

    Original Title

    41517151362165

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    © © All Rights Reserved

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    Copyright:

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    327 views1 page

    Premium Receipt

    Uploaded by

    kishanprasad

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Premium Receipt

    Dear Mr. Kishanprasad Mamidi Receipt No: MA-ME341932


    8-50/2, Ground Floor, Road No:2
    Vidyuth Nagar, Dilsukhnagar
    Hyderabad-500060

    We acknowledge the receipt of payment towards the premium of the following health insurance policy:

    Policy Holder’s Name Mr. Kishanprasad Mamidi Policy Number 41517151362165

    Plan Opted for Family First Silver 5 lacs + 10 lacs Sum Insured (Rs) 30,00,000

    Commencement Date# 21/04/2020 Expiry Date 20/04/2021

    Net Premium (Rs.) 55,781.00

    Service tax(Rs.) 5,912.00

    Education Cess(Rs.) 124.00


    Secondary & Higher Education Cess (Rs.) 53.00

    Gross Premium (Rs.) 61870.00


    #Stamp Duty
    #Issuance of policy is subject to clearance of premium paid

    Details of persons Insured:

    Name of person Insured Age Gender Relationship to policy holder Individual Cover(Rs.)
    (Only in case of Family First)
    Mr. Kishanprasad 38 M Applicant 5,00,000
    Mr. Srinivasulu 62 M Father 5,00,000
    Ms. Thirupathamma 61 F Mother 5,00,000

    Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered
    null and void. For the purpose of deduction under section 80D, the benefit shall be as per the provisions of the
    Income Tax Act, 1961 and any amendments made thereafter.
    In the event of non-realization of premium, Tax benefits cannot be obtained against this premium receipt.
    For your eligibility and deductions please refer to provisions of Income Tax Act 1961 as modified and consult your
    tax consultant.

    Service tax Registration number: AAFCM7916HST001

    For & On behalf of Max Bupa Health Insurance Co. Ltd .

    Manasije MishraChief
    Executive Officer
    Location: Hyderabad
    Date :28/04/2020

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