Medical Insurence

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|FE GOALS. DONE. PREMIUM PAYMENT ACKNOWLEDGEMENT Acknowledgement No.:852700238471 Date:04/05/2020 Policy No. 079123/HP90313 Policy Holders Name MR NITIN GUPTA E-mail nitingupta.gupta46@gmail.com Contact No. 8237292456 ey ett Plan Name oj Allan Heath Protect Medial Insurance - HP92412431 Life Insured | (MR NITIN GUPTA Sum Assured 00,000 Policy Commencement Date | e8108/2020 Policy Term Year Premium Payment Term 1 Year Premium Due Date ‘wos021 Premium Payment Frequency | Annual Premium Received 21480 Payment Mode ver Amount in Words ‘Rupees ‘Twenty Seven Thousand Four Hundred Fifty Only” Agent Code HHee90000060 | Agent Name WEBSALES This is system generated acknowledgement hence requires no signature. Experience convenience at your fingertips with Bajaj Allianz Life — Life Assist, our comprehensive customer portal and mobile application to: [E) wane Check Fund 1] ster To access app, bank details Ait Performance Sa Funds scan QR code (Z Resisterfor Astopay! Pay Premium Download e-Staternent 2) nato-Debit &Top-ups Le Policy Bond Got questions? Say Hi to us on our WhatsApp No. or Scan 8806727272 GR Code ‘WARE OF SFLRDOUS PFO CALS ANO PCTS / RAUOLINT GFTES HDA extents he efi ee aoa bom ees pe bicameral amma ledge wae erp ‘Baja Allin: Life insurance Co.Ltd. Regd Office Address: Bajo Allionz House, Airport Road, Yerammads, Pune ~411006 IRDAIReg No: 1 ¥6,Visit: ‘wrebajallianalf com, CiNe Us40 19PN2001P.C015959, Mal vs: customerc are@bajaialionz.co.n, Callen: Tollfree Np. 1809 20° 7272, Fax ‘No. 020661026789 The Lego. Bajaj Alan: Life Insurance Ca. Lic ws prowcedon he basis of license gven by Baa) Fancery Lit uses Baja ‘Loge andallianz SEtouse ts “Aliant” togo.

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