Renewal Notice : National Parivar Office Code : 361600

Mediclaim/Plus Office Address : C 6, Krishna Plaza, Near

Business Source : 9000197335 Sai Baba Mandir,Nayay Khand I,
Indirapuram, Ghaziabad, Uttar Pradesh
Agent Name : Ms Dharna Durga Contact Number : 8130719719
Policy No : 361600502110001964

Customer name : Mr HARI OM TAYAL Customer ID : 9511984381 Mobile : 7011641521

Address : 6/43, GALI NO. 3, VISHWAS NAGAR Dist. : East Phone :
Delhi, Delhi ,PIN : 110032 E-Mail : priyanktayal2302@gmail.com

The undermentioned policy will be due for renewal on the date shown below. To enable the insurance to be kept in force the
annual premium should be paid on or before the date of Expiry. Please complete and return the attached sheet together with your
remittance.

Policy No Sum Insured Annual Premium Date of Expiry

361600502110001964 Rs. 3,00,000.00 Rs. 22,058.00 27/02/2023

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* For more information and complete Terms and Conditions please visit our website or contact your nearest National Insurance Office or Agent.

Very Important : In accordance with the provisions of Insurance Act 1938, renewal of the policy may not be effected unless the premium has been paid on or
before the renewal date. Your attention is drawn to the provisions of Section 41 of Insurance Act, 1938 - Prohibition of rebates (Amended as per The Insurance
Laws (Amendment) Act, 2015)
1. No person shall allow or offer to allow either directly or indirectly, as an inducement to any person to take out or renew or continue insurance in respect of any
kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy
nor shall any person taking out or renewing or continuing a policy accept any rebate except such rebate as may be allowed in accordance with the prospectus or
tables of the Insurer.
2. Any person making default in complying with the provisions of this section shall be liable for a penalty which may extend to ten lakh rupees.
(This sheet should be completed and returned with premium remittance)
To,
National Insurance Company Limited,
HQ
Renewal of Policy no 361600502110001964 due for renewal on 27/02/2023

Dear Sir,
Please renew the above policy for a further period of twelve months from
Renewal premium remittance details :

Yours faithfully,

Signature
Mr HARI OM TAYAL
6/43, GALI NO. 3, VISHWAS NAGAR Dist. : East Delhi, Delhi
East Delhi - District Others-110032
Delhi-India
Date : 30/12/2022

Note: Kindly ignore this Notice in case if you have already renewed the policy.

* This is a system generated document and does not require any signature