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    HASISTD1 80 D Certificate HeaderFooter 68008604

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    Pradip Jadhav
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    HASISTD1 80 D Certificate HeaderFooter 68008604

    Uploaded by

    Pradip Jadhav
    1 views1 page
    Oo

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    HASISTD1_80_D_Certificate_HeaderFooter_68008604

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    HASISTD1 80 D Certificate HeaderFooter 68008604

    Uploaded by

    Pradip Jadhav
    Oo

    Copyright:

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

    Star Health And Allied Insurance Company Limited

    Hospitalisation Benefit Policy


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

    Policy No : 11240365409604 Type of Policy : Assure Insurance-2021

    Issue Office : 171117-Branch Office - Dombivali

    Address : 1st Floor, Ketkar Residency,


    Off Phadke Road,Dombivali East.Landmark - Karur Vyasa Bank and Municipal Library
    Dombivali
    Kalyan Tehsil Maharashtra 421201

    Tel / Fax :

    Email : [email protected]

    This is to certify that PRADIP DNYANESHWAR JADHAV has paid Rs 16,504/- (Total Premium : Indian
    Rupees Sixteen thousand five hundred four only ) towards Premium for Hospitalization Insurance vide Policy
    No: 11240365409604 for the Period 21-Aug-2024 To 20-Aug-2025 issued on 16-Aug-2024.

    Payment received by Payment Gateway vide Receipt No: 171117/RV/2025/0154901456/1 Receipt


    Date: 16-Aug-2024

    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 : 16-Aug-2024 For and on behalf of

    Place : Branch Office - Dombivali Star Health and Allied Insurance Company Ltd.

    IRDAI Regn.No.129

    Corporate Identity Number L66010TN2005PLC056649 Authorised Signatory

    Email ID: [email protected]

    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 : L66010TN2005PLC056649 Email :[email protected]
    Website :www.starhealth.in IRDAI Regn.no: 129

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