2814204164019501000

Renewal Intimation

MR Rajubabu Adabala Date : 10-Mar-2023

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Hno 197adabala Vari Veedhi Karapa Mandalamgurajanapalli East Godavari
East Godavari Andhra Pradesh-533016
Contact No.: XXXXXXXX39 Email Id: XXXX@Gmail.Com

Due Date : 24-May-2023

Branch Name : Hyderabad

Intermediary Name : Erra Ramya
Intermediary Code : 200249514399
Intermediary Contact Number : 8919187367

Dear Rajubabu Adabala,

We thank you for placing your trust and choosing us for your insurance needs. We hope you keep enjoying the continuity benefits by renewing your Energy policy before the
expiry date. The premium amount paid under this policy qualifies for deduction under section 80D of the Income Tax Act.Please note,the income tax rules are subject to change.

Energy-Silver One Year - Silver - Individual 2814204164019501000

Cumulative Wellness Wellness Co-payment Current Sum Insured
Relationship with
Member ID Insured Name Date of Birth Age Bonus (`) Discount Incentive (`) (%) (`)
Policyholder
(%)
2021110008422633 Rajubabu Adabala 15/07/1979 43 Self 50000 0 0 0 500000
Total Premium (inclusive of all taxes) ₹ 14520

Ways to renew your policy https:/www.hdfcergo.com/renew-hdfc-ergo-policy

Click here to renew https://m.hdfcergo.com/download.aspx
Click here to renew on HDFC
ERGO App
If the policy is renewed after the due date, the quoted premium is subject to change based on the actual age as on policy transaction date.If you wish to make any changes
in the policy, please visit www.hdfcergo.com >> Help >> Make changes/endorsement. The total premium is inclusive of base & rider premium where applicable.

Authorized Signatory

For Policy related queries call us at +91 22 6234 6234/+91 120 6234 6234 or Visit Help Section on www.hdfcergo.com for policy copy/tax certificate/make changes/register & track claim

For Branch Visit: Please fill in the details to renew your policy at any of our branches. In case of Cheque/DD, please issue in the name of HDFC ERGO General Insurance
Company Limited
Terms & Conditions Apply. HDFC ERGO General Insurance Company Limited. IRDAI Reg. No.146. CIN: U66030MH2007PLC177117. Registered & Corporate office: 1st Floor,
HDFC House, 165-166 Backbay Reclamation,H.T.Parekh Marg,Churchgate, Mumbai- 400 020. For more details on the risk factors, terms and conditions, please read the
sales brochure / prospectus before concluding the sale. Trade Logo displayed abovebelongs to HDFC Ltd and ERGO International AG and used by the Company under license.
UIN: Energy - HDHHLIP21345V042021.