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    Arun maxbupa

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    raghu.raghu489

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    © All Rights Reserved
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    Arun maxbupa

    Uploaded by

    raghu.raghu489
    3 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    3 views1 page

    Arun maxbupa

    Uploaded by

    raghu.raghu489

    Copyright:

    © All Rights Reserved
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    Premium Receipt

    Dear MR. VEERA ARUNA BALAJI PUTHI


    PLOT NO : 15,BHAVANIPURAM COLONY,ASHOK NAGAR
    HYDERABAD
    TELANGANA
    HYDERABAD
    TELANGANA - 502032

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

    Policy Holder's Name Mr. Veera Aruna Balaji Puthi Policy Number 31673270211201

    Plan Opted for Health Recharge Sum Insured (Rs.) 45,00,000

    Commencement Date# 19/04/2021 Expiry Date 18/04/2023


    Premium (Rs.) - Base product 10,680.00
    Premium (Rs.) - Personal Accident cover 0.00
    Premium (Rs.) - Critical Illness cover 0.00
    Premium (Rs.) - Modification in room rent 0.00

    Discount (Rs.) Nil


    Net Premium (Rs.) 10,680.00
    Integrated Goods and Service Tax (18.00 %) 0.00
    Central Goods and Service Tax (9.00 %) 961.20
    State/UT Goods and Service Tax (9.00 %) 961.20
    Gross Premium (Rs.) 12,602.00
    #
    Issuance of policy is subject to clearance of premium paid

    Details of persons Insured:

    Name of Person Insured Age Gender Relationship

    Mr. Veera Aruna Balaji Puthi 34 Male Self

    Mrs. Kavya Deepala 28 Female Spouse

    Ms. Ishitha Puthi 5 Female Daughter

    Mr. Jasmitha Puthi 1 Female Son

    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.

    You may get tax benefits up to Rs. 12,602.40 subject to maximum permissible limits under Income Tax Act 1961 as modified from time to time.
    For more details kindly consult your tax advisor. In the event of non-realization of premium, benefits cannot be obtained against this premium
    receipt.

    GSTI No.: 36AAFCM7916B2UZ8 SAC Code / Type of Service : 997133 / General Insurance Services

    Niva Bupa State Code: 36 Customer State Code / Customer GSTI No.: 36 /NA

    Policy issuing office: Delhi, Consolidated Stamp Duty deposited as per the order of Government of National Capital Territory of Delhi.

    Location: New Delhi Director - Operations & Customer Service


    Date: 03/01/2022 For and on behalf of Niva Bupa Health Insurance Company Limited
    (formerly known as Max Bupa Health Insurance Co. Ltd.)

    Product Name: Max Bupa Health Recharge | Product UIN: MAXHLIP20140V021920

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