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Appolo Munich Policy
Appolo Munich Policy
Appolo Munich Policy
25-Jun-2014
80095655
Agency Code
Agency Name
BHAWNA GOEL
Agency Contact No
9313153084
The Policy Schedule along with income tax (80 D) certificate (wherever applicable)
Member cashless card/s
Important Information related to Claim Procedure, and
Let's Stay Healthy - Value adds from Apollo Munich
To know more about policy related information and value added offers, you may re-register yourself at our website using
your unique member ID and policy number as mentioned in the policy schedule.
In case of any query, please feel free to write to customerservice@apollomunichinsurance.com or call us at our 24 hours
toll free number 1800-102-0333. Our customer care team will be happy to assist you.
Warm Regards,
Authorized Signatory
Note:- Revision in Policy wordings (if any) due to regulatory compliance or any other reason can be accessed through our
website www.apollomunichinsurance.com.
- Please update us with your latest contact details (in case of any change) so that same can be updated in our records.
You can either write back to us or call us on our toll free no. 18001020333.
Agency Code:
Agency Name:
Agency Contact No:
Policy Number:
110101/11119/6000112372-01
23-Jul-2013
Age
Relationship to Policyholder
Mr Abhishek Saxena
24
Policy Holder
500000
250000
Relationship: Mother
Nominee Name: Mrs Anju Saxena
The nominee must be an immediate relative of the policyholder. For all other Insured Persons the policy holder shall be the nominee.
Premium Calculation:
Net Premium
Discounts
Loadings
Service Tax
Duties and cess as applicable
Gross Premium
(Rs)
(Rs)
(Rs)
(Rs)
(Rs)
(Rs)
5609.00
0.00
0.00
673.08
20.19
6302.27
Rupees Six Thousand Three Hundred Two and Paisa TwentySeven Only
The stamp duty of Rs. 0.50/- (Paisa Fifty Only) paid vide No.F.10(783)/COS(HQ)/Con.duty/08. (Not applicable for the state of
Jammu & Kashmir).
Service Tax Registration No.: AAGCA1654HST002
EXCLUSION(S) / SPECIAL CONDITION(S):
Member ID No of Insured
Person Name
Details
10005815857
Mr Abhishek Saxena
For Rs 500000 (Rupees Five Lakh) Sum Insured - Sec 4B) of the
policy wording is waived, Sec 4C) is reduced to 1 year and Sec
4D) is reduced to 2 years.
Location: Gurgaon
Date: 25-Jun-2014
Authorized Signatory
Certificate for the purpose of deduction under Section 80 D of Income Tax (Amendment) Act, 1986*
This is to certify that MR Abhishek Saxena has paid Rs 6302.27 (Rupees Six Thousand Three Hundred Two and Paisa Twenty-Seven
Only ) towards premium for Optima Restore Individual Policy No 110101/11119/6000112372-01 issued to Mr Abhishek Saxena
for period 23-Jul-2014 to 22-Jul-2015.
Location: Gurgaon
Date: 25-Jun-2014
Authorized Signatory
* Note
1. This is subject to the provisions of Section 80D of income tax (Amendment) Act, 1986 as amended from time to time.
2. This certificate must be surrendered to the company in case of cancellation of this policy. In event of incorrect representation of
this
declaration the liability shall be upon the policy holder.
3. Please note that this certificate will not be issued if the premium payment has been made in cash.