Royalsundaram - IT CERTIFICATE Parents

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ROYAL SUNDARAM ALLIANCE INSURANCE COMPANY LIMITED

“Sundaram Towers” 45&46, Whites Road, Chennai -600014


Registered Office-21, Patullos Road, Chennai-600002.
Call :1860-425-0000
Email:[email protected],website:www.royalsundaram.in

Inc ome Tax Certific ate

This is to certify that G Bangar Raju has paid a premium of Rs.55,000.00/- towards Health Insurance Policy
Vide Certificate No. RYU1246700002356 for the period 20/05/2022 to 19/04/2023. The details of the Insured
persons are given below. This Certificate is issued for the purpose of claiming deduction under Section 80 (D)
of Income Tax (Amendment) Act, 1961.

Kindly select the appropriate premium from the below table in respect of self, spouse, 1 dependent children and
parents to claim Income Tax exemption as per the provisions o f Section 80D of Income Tax
(Amendment) Act, 1961.

Date of Sum Insured Premium


Name Relation to Proposer
Birth (Rs.) (Rs.)

G Rambabu Father 01/01/1956


500,000.00 55,000.00
G Ramanamma Mother 26/06/1965

Family Discount Rs. 2,000.00


TPA- 1.15% Rs. 600.00
Service Tax @1.75% Rs. 1400.00
Net Premium Rs. 55,000.00

For Royal Sundaram Alliance Insurance Company Ltd

Duly Authorised Signatory

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