Group Secure - Certificate of Insurance

Group Secure Insurance for Policy holder Impact guru technology ventures private limited (46466433) dated 15-Sep-2022 with GST No. 27AADCI7269P1ZR has been
issued at Gurgaon by Care Health Insurance Limited (formerly known as Religare Health Insurance Company Limited). This confirmation, issued under the signatures
of the insured, represents the availability of benefit to the below mentioned insured Person,who is a permanent employee of the insured, or a dependant of a
permanent employee of the insured or a customer of the insured, details are as specified below,subject to the terms, conditions and exclusions contained or
otherwise expressed in the said policy, but not exceeding the Sum Insured as specified in Policy Certificate.
Policy Details
Mr. Sujay Kumar .
Certificate of Insurance No. 464664335162951
Mobile No: 9845723431 Plan Name IMI1000009046466433
support@symboinsurance.com Sum Insured Basis Individual
Start Date 16-Sep-2022
DOB: xx-xx-xxxx
End Date 15-Sep-2023
Premium Paid Rs. 47
(Premium Rs. 40 + IGST Rs. 7)
Yearly* Premium paid up to 15-
Premium Frequency
09-2023

Details of Insured
Sum
Name Gender Relationship Nationality D.O.B Pre-Existing Diseases / Conditions
Insured
Sujay Kumar . M Self 100000 Indian xx-xx-xxxx NONE

Policy Benefits
S S No. Benefits Sum Insured Deductibles
Benefits Sum Insured Deductibles
No. 4 Personal Accident Cover INR 100000 NA
Accidental 5 Accidental Hospitalization INR 20000 NA
1 100 Percent of SI NA
Death
Up to SI As per PPD
2 PPD NA
table of Group Care 360
Up to SI As per PTD
3 PTD NA
table of Group Care 360

Contact for Assistance (Only Medical Evacuation) Contact for Policy Servicing & Claim Reimbursement
For Claim & Assistance: 18001024488, Toll-free Number : 1800-102-4488
customerfirst@careinsurance.com Fax Number : 1800-100-5577
Email ID : customerfirst@careinsurance.com
Address: Care Health Insurance Limited (formerly known as Religare Health
Insurance Company Limited), Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber
Park, Sector 39, Gurgaon -122001
Website: www.careinsurance.com

Important Note
I declare that my age is between 18 to 65 years at the time of sourcing
the policy.

For Care Health Insurance Limited (formerly known as GST No: 27AADCR6281N1ZS
Religare Health Insurance Company Limited) Consolidated Stamp Duty paid vide E-Challan GRN no. 84404086 dated 23-Nov-2021

CIN No: U66000DL2007PLC161503

UIN No : IRDA/NL-HLT/RHI/P-P/V.I/255/13-14

You shall ensure that you have received, read and understood the terms and conditions
as contained in Part II and Part III of the Policy

Please read and understand terms & condition of the policy from CHIL corporate
Care HealthSignatory
Authorized Insurance Limited (formerly known as Religare Health Insurance
portal. Company Limited)
Care Health Insurance Limited (formerly known as Religare Health Insurance Company Limited), Unit no 604 - 607, 6th Floor, Tower C, Unitech Cyber Park,
Date of Issue:
Sector 06-Oct-2022
39, Gurgaon -122001 Place of Issue: Gurgaon
Fax : 1800-100-5577 Call us : 1800-102-4488 E-mail :customerfirst@careinsurance.com (for policy servicing)
IRDA Registration No - 148