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Medical Parents

This document is a receipt acknowledging the payment of a health insurance premium for Mr. Saravana Ruban C, with policy number 9878150071581, effective from July 15, 2024, to July 14, 2025. The total gross premium paid is Rs. 70,800.00, which includes an integrated GST of Rs. 10,800.00, and it lists the insured individuals as Mr. M Chermakani and Mrs. C Kamini, who are the policyholder's parents.

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36 views1 page

Medical Parents

This document is a receipt acknowledging the payment of a health insurance premium for Mr. Saravana Ruban C, with policy number 9878150071581, effective from July 15, 2024, to July 14, 2025. The total gross premium paid is Rs. 70,800.00, which includes an integrated GST of Rs. 10,800.00, and it lists the insured individuals as Mr. M Chermakani and Mrs. C Kamini, who are the policyholder's parents.

Uploaded by

saravana ruban
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd

Dear Mr.

SARAVANA RUBAN C
2/2337-T, KAYAMBU NAGAR SIVAKASI
TAMIL NADU - 626123

We acknowledge the receipt of payment towards the premium of the following health insurance policy:

Policy Holder's Name Mr. SARAVANA RUBAN C Policy Number 9878150071581

Commencement Date 15/07/2024 Expiry Date 14/07/2025


Plan Opted for HC VARIANT 50L NAT 2A

Net Premium/Taxable Value (Rs.) 60,000.00

Integrated Goods and Service Tax (18.00 %) 10,800.00


Central Goods and Service Tax (0.00 %) 0.00
State/Union Territory Goods and Service Tax (0.00 %) 0.00
Loading(Rs.) 0.00
Gross Premium (Rs.) 70,800.00
Issuance of policy is subject to clearance of premium paid

Details of persons Insured:


Name of Person Insured Age Gender Rela onship to policy holder
Mr. M CHERMAKANI 61 Male Father

Mrs. C KAMINI 54 Female Mother

Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null and void. For
the purpose of deduc on under sec on 80D of the income Tax Act, 1961, please consult your tax advisor for more details. The
benefit shall be as per the provisions of the Income Tax Act, 1961 and any amendments made therea er.

In the event of non-realiza on of premium, Tax benefits cannot be obtained against this premium receipt

GSTI No.: 07AAFCM7916H1ZA SAC Code / Type of Service : 997133 / General Insurance Services

Niva Bupa State Code: 7 Customer State Code / Customer GSTI No.: 33 /NA

Policy issuing office: Delhi, Consolidated Stamp Duty deposited as per the order of Government of Na onal Capital Territory of Delhi.

Loca on: New Delhi Chief Opera ng Officer


Date: 15/07/2024 For and on behalf of Niva Bupa Health Insurance Company Limited

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