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Max Bupa Daddy 23

This document is a premium receipt for health insurance issued to Mr. Satnam Singh Bhengura for the policy number 30267088201906, effective from 24/10/2023 to 23/10/2024. The gross premium amount is Rs. 45,785.00, which includes an integrated GST of Rs. 6,984.18. The receipt also outlines the insured person's details and tax deduction eligibility under section 80D of the Income Tax Act, 1961.

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bhengura
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32 views1 page

Max Bupa Daddy 23

This document is a premium receipt for health insurance issued to Mr. Satnam Singh Bhengura for the policy number 30267088201906, effective from 24/10/2023 to 23/10/2024. The gross premium amount is Rs. 45,785.00, which includes an integrated GST of Rs. 6,984.18. The receipt also outlines the insured person's details and tax deduction eligibility under section 80D of the Income Tax Act, 1961.

Uploaded by

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

Premium Receipt

Dear MR. SATNAM SINGH BHENGURA


FLAT NO : 909 A, USHANAGAR
VILLAGE ROAD
BHANDUP (W)
MUMBAI

MAHARASHTRA - 400078

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

Policy Holder's Name Mr. Satnam Singh Bhengura Policy Number 30267088201906

Commencement Date" 24/10/2023 Expiry Date 23/10/2024

Plan Opted for HEARTBEAT GOLD SL lA

Net Premium/Taxable Value (Rs.) 38,801.00

Integrated Goods and Service Tax (18.00 %) 6,984.18

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.) 45,785.00


• issuance of policy is subject to clearance of premium paid

Details of persons Insured:


Name of Person Insured Age Gender Relationship to policy holder
Mr. Swinder Singh Bhengura 69 Male Father

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 deduction under section 80D, the benefit shall be as per the provisions of the Income Tax Act, 1961 and any amendments made
thereafter.

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

For your eligibility and deductions please refer to provisions of Income Tax Act 1961 as modified and consult your tax consultant.

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

Max Bupa State Code: 7 Customer State Code/ Customer GSTI No.: 27 /NA

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

Location: New Delhi Director - Operations & Customer Service


Date:24/10/2023 For and on behalf of Niva Bupa Health Insurance Company Limited

Heartbeat; UIN no, IRDA/NL-HLT/NBHI/P-H/V.11I/19/16-17

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