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  • Part A Form-Medibuddy-Newindia Assurance

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    chikku
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    This document contains identifying information for two individuals - Opathi Boopathi and Phynthamil Panneerselvam. It includes their name, date of birth, gender, address, unique identification number, MedAssist insurance details, and contact number. The document also contains logos for the Unique Identification Authority of India and MedAssist Insurance TPA Pvt Ltd.

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    Part a Form-medibuddy-newindia Assurance

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    This document contains identifying information for two individuals - Opathi Boopathi and Phynthamil Panneerselvam. It includes their name, date of birth, gender, address, unique identification number, MedAssist insurance details, and contact number. The document also contains logos for the Unique Identification Authority of India and MedAssist Insurance TPA Pvt Ltd.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    34 views5 pages

    Part A Form-Medibuddy-Newindia Assurance

    Uploaded by

    chikku
    This document contains identifying information for two individuals - Opathi Boopathi and Phynthamil Panneerselvam. It includes their name, date of birth, gender, address, unique identification number, MedAssist insurance details, and contact number. The document also contains logos for the Unique Identification Authority of India and MedAssist Insurance TPA Pvt Ltd.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 5

    SECTION A SECTION B SECTION G SECTION H

    SECTION C
    SECTION D SECTION E SECTIONF

    ONH
    2

    C
    Government of India
    51618LMgoi yu
    Thulasidaran Boopathi
    Opp pnsM / DOB: 23/08/1986
    sdoTuITC/ Male

    8466 0217 1962


    6160T5 5TJ, 616011 S16LU6TLH

    Unique ldentification Authority ofindia


    &u 3385. 14 61601 y ta smavof.
    smboTpsh. UanGuo@. GsmubuBGT) AsDG.
    enGioG. CsmuJuBBnd. zLhp pmC. 641004
    Address: CIO, 3385, TNUDBKaalani.
    Gaandhimaanagar, Pielameadu, Coimbatore
    South, Peelamedu, Coimbatore, Tamil Nadu,
    641004

    8466 0217 1962


    www
    helpuldel.gov.in www.uidai.gov.n
    1947

    ol22
    Government of India
    Phynthamil Panneerselvam
    p e pnaDOB: 03/11/1989
    Gucmuns Female
    6450 0341 9969
    Unique ldentification Authorityoftndia
    naan: DI0 Ushyaecbonb, 19 Address: D/O:
    Panneerselvam, 19, 1ST
    CROSS, E B COLONY
    Camuho3 aLadnen, aLadra
    COIMBATORE, Vadavall,
    CamuububsÓ. SL BrC. 641041 Vadavalli, Coimbatore, Tamil
    Nadu, 641041
    6450 0341 9969
    www
    1047 help@uldal.gov.in www.uldel.govin
    1800300 1947
    ,
    ASAsCy CTS 010 290621

    CAN,
    The Now bmdta Assuranca Go.

    D CardPAN Caa stog er pnerited t honpaas


    s ron-transferatle cortficaier card s vaid at uleted Netwon Hpptas
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    Med: Assist Insurane TPh Pt LId
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    Contact number 1800-425-9449

    T h s caro s ony tor dertficaton ard n ra an atorzator n e M


    The es tndis Assuranca Ce ua the treatnent a a guar artee to paymert

    I the case of photoess cery cs s io e


    oD entnyo as acha
    Carc PAN Carc sraicCariasscorCer
    te presee a r s e Pas vie
    Phyntham P soreautrora
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    s077251927 Fa the lates updaved Netwrn tospea i ogr to wwa mecass

    32046
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    Spouse
    Tower D, 4tr Floor 1BC Krowedge Parn 41 Barregana Roa
    KM Layout. Bengaiuru Kamataxa 560079 CN
    u85199KA1999PTCO25E76
    Webste wwwmesasssi Emai twTeccamenoegercer

    Gerer a1es1 O- 4 2 . 11

    I MASO77251927
    Contact number: 1800-425-9449

    2 0/el/22

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