Renewal Notice

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RENEWAL REMINDER

Policy No. P/131400/01/2021/002294


Date : May 24 2021

ATTHE BHAGEERATH 131400 - Area Office - Warangal


# 12-1-481/66, INDRAPRASTHA COLONY, ROAD NO.5, # 11-25-30, JAKOTIA COMPLX , M.G ROAD,
BANDLAGUDA, POCHAMMA MAIDAN , WARANGAL -506002.
RANGAREDDY WARANGAL - 506002
Hyderabad,Rangareddi,Telangana- 500068 Ph :0870-2558558,2558559
99XXXXXX78 / - /[email protected]
Proposer/Customer Code: 15790791 / AA0012905093 Reference No : R/131400/01/2022/025268 - Direct Receipt.
Dear Customer,

We value your relationship with us and thank you for the same. We wish to bring to your kind notice that Star Super Surplus (Floater) Insurance Policy
is due for renewal on 28/06/2021. The renewal premium, including Tax, works out to Rs.6613/- as per the details given below.
S. No Name of the Insured Date of Birth Age as on renewal Sum Insured Deductible / Premium
(Rs.) Defined Limit (Rs.)
(Rs.)

1 ATTHE BHAGEERATH 02/07/1987 33 2500000 500000 5605


2 ATTHE MEGHANA MUDIDE 23/06/1996 25
3 ATTHE ADHARV 24/01/2019 2
Total 5605
GST@ 18% 1008
Total Renewal Premium 6613
If there is any change in the list of insured persons to be covered and/ or you desire any changes in the sum insured etc., please inform us
immediately so that we can work out the revised renewal premium and advise you. Otherwise, please arrange to remit the renewal premium of Rs
6613/- on or before 27/06/2021. Please note that the payment of premium by any mode other than by cash will be eligible for benefit under Sec. 80 D of
the Income Tax Act. If you pay by Cheque or DD, please make payment in favour of "Star Health And Allied Insurance Company Limited".

We request you to renew the policy before the renewal date to ensure continuity of cover and benefits.
"Please furnish your mobile number and email id in the space provided below to enable our company to communicate with you as our valued
customer, whenever required".

Mobile Number : Email id :


You can also update your Address / Mobile No / E Mail ID, online by visiting our website www.starhealth.in.

Please note that this policy can be renewed online or using your mobile. Kindly log on to our website www.starhealth.in to know the details.
You can avail coverage under our Personal Accident (Accident Care) Policy also. For details, please contact our Agent/ Office.

Always at your service. Intermediary/Code: Mr.SUJITH KUMAR ACHCHE/BA0000318829

For Star Health and Allied Insurance Company Limited Phone No : \ 9059925440
Fulfiller Name/Code : Mr.LAXMI NARAYANA B/SH36464
Authorised Signatory Phone No : \ 9948918674

IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID : [email protected]

Star Health and Allied Insurance Co.Ltd


Spot Acknowledgement
Acknowledged hereby receipt of Cash / Cheque / DD No.____________________ Dt _____________ for Rs. __________/- drawn on
_____________ from Mr./Mrs/Ms._____________________________ towards premium for the renewal of Policy No. _________________________.
A system generated "Advance Premium Receipt" for this payment will follow from our office, which is subject to realization of the cheque.
_________________________________ ______________________________
Name & Code of the Authorised Person Signature of Authorised Person
Place:
Date:
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 :[email protected] Website :www.starhealth.in IRDAI Regn.no: 129

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