Star Health and Allied Insurance Company Limited:) # 1.personal and Caring 7 F - T

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)#<1.

Personal and Caring 7


=
f . T .
Hospi t al i sati on
Benef t Pol i cy
Premium
Certifcate for the
purpose of
deduction under
Section 80 D of
Income Tax
(mendment!
ct"#$8%
Policy &o
P'(0000#'0#')0##'
000%00
Type *f Policy +
Senior Citi,ens -ed
Carpet Insurance
Issue *.ce +
(0000# /
Corporate *.ce/
Telesales
Policy
ddress
Chennai
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STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED
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00 '
This is to
certify that
S<-BH
=-> has
paid -s
#8%?) (Total
Premium +
Indian
-upee
:i3hteen
Thousand
Six Hundred
9ifty/T1o
*nly !
to1ards
Premium for
Hospitali,ati
on
Insurance
@ide Policy
&o+
P'(0000#'0
#')0##'000
%00 for the
Period
0%'0?')0#0
To
0?'0?')0##
issued on
0%/>A/#04
Payment
recei@ed 7y
CheBue'Credit'D
e7it Card @ide
collection &o+
##;(00008;/
0%'0?')0#0
&ote +/ This
Certifcate
must 7e
surrendred
to the
Insurance
Company
for
issuance of
fresh
Certifcate
in case of
Cancellatio
n of the
Policy or
any
alteration
in the
Insurance
aCectin3
the
Premium4
9or and *n 7ehalf of
Date +
0%'0?')0#0
ST- H:5TH
&D 55I:D
I&S<-&C: C*
5TD"
uthorisedDEDnator
y4
Place
Regd. esz Corporate Office : 1, New Tank Street, Valluvar Kottarn High Road, Nungainakka!, Chennai " 600 034.
#hone : $%%"&'&())$$ * &'&'''$$ Telefa+ : $%%"&'&($$,( Toll free : 1'$$%&,&&,, -e.ite : www/.tarhealth/in

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