Star Health And Allied Insurance Company Limited

Tax Invoice
Invoice No. : 332212I004046824 Customer ID : PI0002452189
Invoice Date : 07-Dec-2022 Policy No. : 11230218156300
Recipient Supplier
GSTIN : GSTIN : 33AAJCS4517L1Z5
Name : Mr. ARUMUGAM D Name : Star Health and Allied Insurance Co Ltd -
Branch Office - Cuddalore
Address : NO:23 A P SIVARAMAN NAGAR Address : No.41/1 G A B Complex , Opp to Daily Thanthi,
3RD STREET PANRUTI Imperial Road , Cuddalore - 607 002
CUDDALORE DISTRICT
City : Panruti Taluk Pin Code : 607106 City : Cuddalore Town Pin Code : 607002

State : Tamil Nadu Client : IND State : Tamil Nadu Place of : Tamil Nadu
Category supply

Taxable IGST @ UT/SGST @ CESS @ Total Invoice

Total Discount CGST @ 9%
Value 18% 9% 1% Value
HSN / SAC Description of
Code Service(s) F=C*
D=C* E=C* G= C * H=C+D+
A B C=A-B UTGST or
IGST CGST Cess E+ F + G
SGST

Insurance
997133 24,960.00 0 24,960.00 0 2,246.00 2,246.00 0 29,452.00
Services

Total Invoice Value (in Figures) : Rs. 29,452/-

Total Invoice Value (in Words) : Rupees Twenty Nine thousand four hundred fifty two only
Amount of Tax Subject to reverse Charge : No

Important Note:
The invoice is issued as per Section 31 of the CGST Act
In case no GSTIN or incorrect GSTIN is provided by the Proposer at Proposal stage, Star Health and Allied Insurance Co Ltd shall not be
responsible for any Input Tax Credit losses and no subsequent revision of invoice will be undertaken
"I/We hereby declare that though our aggregate turnover in any preceding financial year from 2017-18 onwards is more than the aggregate
turnover notified under sub-rule (4) of rule 48, we are not required to prepare an invoice in terms of the provisions of the said sub-rule."
E. & O.E
This is a digitally signed document and hence no physical signature is required

IRDA Regn.No.129 Corporate Identity Number L66010TN2005PLC056649 Email ID: stargst@starhealth.in

Entered by : STAR_PORTAL For Star Health and Allied Insurance Company Ltd.
Approved by : SH23460

Authorised Signatory Page 6 of 7

Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll
Free Fax No: 1800-425-5522 Toll Free No:1800-425-2255 / 1800-102-4477,CIN : L66010TN2005PLC056649 Email :support@starhealth.in
Website :www.starhealth.in IRDAI Regn.no: 129