Quotation Number: OPR0821007256189  

                                                                  Date: 04/08/2021  

Dear PARTH VARMA,

We thank you for choosing  HDFC ERGO General Insurance Company Limited  for your insurance needs

Please find below quotation of Optima Restore Individual Policy for 1 Year

Insured's Name Date of Birth Sum Insured (₹)

PARTH VARMA 02/12/1995 1500000

Premium Details (₹)

Insured 1 - PARTH VARMA
Total Premium without tax ₹11322.00
GST ₹2038.00
Total Premium with GST ₹13360.00
Cover Details (₹)
Hospital Daily Cash Rider ₹0.00
Individual Personal Accident Rider ₹0.00
Protector Rider ₹0.00
Basic Optima Restore Cover ₹11322.00
Critical Advantage Rider ₹0.00

Validity - This quotation is valid for 7 days from the date of quotation date i.e. 11/08/2021

If at the time of final policy booking, the premium changes/moves to next slab due to age then the differential
premium needs to be paid accordingly

The quotation is based on the inputs provided by client. if however, during the course of policy issuance if it is found
that the information furnished by client is not as per our underwriting guidelines, the company reserves the right to
alter and amend or withdraw the quotation, which shall binding on client.

Regards,
Team  HDFC ERGO

The insurance quote(s) enclosed is a written agreement providing confirmation of the terms of the cover (s) agreed telephonically/ on the website. You
are requested to contact us within 15 days for correction, in case any information communicated has not been truly captured in the above attached
quote(s)..
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HDFC ERGO General Insurance Company Limited. IRDAI Reg. No.146 CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor,
HDFC House, 165-166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400 020. Trade Logo displayed above belongs to HDFC Ltd
and ERGO International AG and used by the Company under license.