80D Insurance

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Tax Certificate

To

Customer Name : S ANUJA


Address PLOT NO 2 VELUSAMY NAGAR,
: ESWARAN NAGAR MAIN RD, KEELKATTALAI
Chennai
600117

Subject: Premium Certificate for the purpose of deduction under Section 80 D of Income Tax Act 1961 and any amendments
made thereafter.

Dear Customer,
This is to certify that the company has received the premium for Health Insurance Coverage under "Health Insurance Policy"
with the following details.

S ANUJA
Policy Holder's Name : P/121115/01/2023/003394
Policy No. :

Policy Name : Senior Citizens Red Carpet Total Premium : 85417


Health Insurance Policy
Policy End Date :
Policy Start Date : 18/07/2022 17/07/2023
Servicing Branch
Customer GSTIN : GSTIN :
- 33AAJCS4517L1Z5

Customer Code : Premium Terms :


Non-Installment
AA0026856567
Servicing Branch
Servicing Branch No: 1/11, Ist Floor Balakrishna
121115 - Branch Office - Address :
Code & Name : Complex,Bunglow Street,
Perundurai
Bhavani Road,Perundurai- 638052
Branch Office - Perundurai

IGS CGS SGST


Receipt Date Basic Premium T T Total Premium
% Rs. % Rs. % Rs.

18-JUL-22 78456 0 0 9 7061 9 7061 85517

The Product is eligible for deduction us 80D of the Income Tax Act 1961 and any amendments made there to.

Financial Year Amount

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
CN=R Margabandhu,

R Margabandhu
SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b154
75488cdf3b2c3c26c3c9, ST=TAMIL NADU, OID.2.5.4.17=600034,
OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806c
a65f89e15179f5fe50a, OU=UNDERWRITING - Chief Risk Officer,
O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN.
Date :Mon Jul 18 18:08:33 IST 2022
2022-2023 5997
8

Note:-
1) This certificate must be surrendered to the Insurance Company of insurance of fresh Certificate in case of Cancellation of
the Policy or any alternation in the Insurance affecting the Premium.
2) This Certificate is reflecting the Premium(s) Receipts cleared at the time of generating this certificate.
3) The Liability of any changes in the Premium Receipt's clearing status post generating the certificate shall be upon
the policy holder.

Date : 18/07/2022 For and On behalf of

Place : PERUNDURAI Star Health and Allied Insurance Company


Ltd

IRDA Regn. No 129


Corporate Identity Number L66010TN2005PLC056649
Email ID : [email protected] Authorised signatory.

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

You might also like