This certificate certifies that ANUJ RAKHEJA paid a premium of Rs. 23,173 on May 24, 2018 for an Individual Adult 1-Year Health Insurance policy with ICICI Lombard starting May 24, 2018 and ending May 23, 2019. The policy number is 4128i/iHPA/131105175/00/000. The product is eligible for deduction under Section 80D of the Income Tax Act of 1961 and any subsequent amendments.
The certificate must be surrendered if the policy is cancelled. The liability will be on the policyholder if this declaration is incorrectly represented.
This certificate certifies that ANUJ RAKHEJA paid a premium of Rs. 23,173 on May 24, 2018 for an Individual Adult 1-Year Health Insurance policy with ICICI Lombard starting May 24, 2018 and ending May 23, 2019. The policy number is 4128i/iHPA/131105175/00/000. The product is eligible for deduction under Section 80D of the Income Tax Act of 1961 and any subsequent amendments.
The certificate must be surrendered if the policy is cancelled. The liability will be on the policyholder if this declaration is incorrectly represented.
This certificate certifies that ANUJ RAKHEJA paid a premium of Rs. 23,173 on May 24, 2018 for an Individual Adult 1-Year Health Insurance policy with ICICI Lombard starting May 24, 2018 and ending May 23, 2019. The policy number is 4128i/iHPA/131105175/00/000. The product is eligible for deduction under Section 80D of the Income Tax Act of 1961 and any subsequent amendments.
The certificate must be surrendered if the policy is cancelled. The liability will be on the policyholder if this declaration is incorrectly represented.
This certificate certifies that ANUJ RAKHEJA paid a premium of Rs. 23,173 on May 24, 2018 for an Individual Adult 1-Year Health Insurance policy with ICICI Lombard starting May 24, 2018 and ending May 23, 2019. The policy number is 4128i/iHPA/131105175/00/000. The product is eligible for deduction under Section 80D of the Income Tax Act of 1961 and any subsequent amendments.
The certificate must be surrendered if the policy is cancelled. The liability will be on the policyholder if this declaration is incorrectly represented.
TO To ASHOK DANGWAL ANUJ RAKHEJA 1766/6, Vill. IST FLOOR, 1ST Lalpani, P.O GOVINDPURI EXTENSION, - Kumbhichaur, KALKAJI, Kotdwara DELHI Pauri GarhwaI DELHI - 110019 - 246149 Uttarakhand
Subject: Premium Subject: Premium certificate certificate forpurpose for the the purpose of deduction of deduction under80D under section section 80D Tax of Income of Income Act, 1961Tax andAct, any1961 and any amendments amendments made thereafter. made thereafter.
Dear ASHOK Dear ANUJ DANGWAL RAKHEJA,
This This is is to certify to certify that that the the Company Company has receivedhas the received the May premium dated premium dated 24, 2017 Apr insurance for Health 13, 2018coverage for Health insurance under "Health coverage under ”Health Insurance Policy" "Health Insurance Policy” with the following details. Policy" with the following details.
Policyholder's Name ANUJ
ASHOKRAKHEJA DANGWAL Policy Number 4128i/iHPA/131205084/00/000 4128i/iHPA/131105175/00/000 Policy Start Date Apr 13, 2017 May 24, 2018 Policy End Date Apr 12, 2018 May 23, 2019 Plan Name iHP_Individual_Adult_1Year iHP_lndividual_Adult_lYear iHP_lndividual_Adult_1Year Total Premium Paid (`) R) 12093 23173
800 of the Income Tax, 1961
The product is eligible for deduction u/s 80D 1961 and any amendments made there to.
GIS/MUMBAI-I/1528/2001 GlS/MUMBAl-l/1528/2001 Service tax registration number: GIS/MUMBAI-I/1528/2001
Note: This certificate must be surrendered to the Insurance Company in case of Cancellation of the Policy. In the event of incorrect representation of this declaration, the liability shall be upon the policyholder.
