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Medical Insurance

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Premium Acknowledgement

Policy No. 34745171


Client ID 8447972192
Policyholder Mr Masood Ahmad
Address 22A/1R/1, Pura Madari,
Karamat Ki Chowki,
Near Poultry Form-Prayagraj-211016

Policy Period 13-Oct-2022 to 12-Oct-2023

Premium Details
Particulars Amount (in Rs.) S.no. Receipt Number Amount Mode of Payment
1 36211552 24252 INTERNET PAYMENT GATEWAY (IPG)
Gross Premium
Care Plus 20,552.45

Goods & Services Tax (GST) 3,699.44

Total 24,252.00

The Premium is rounded off to the nearest rupee.

Eligibility of Premium for Deduction u/s 80D of the Income Tax Act, 1961

This is to certify that Care Health Insurance Ltd. (Formerly known as Religare Health Insurance Company Limited) has received an
amount of Rs. 24,252.00/- from Mr Arun Kumar towards Payment of Health insurance premium as per the details mentioned above.
The premium paid for this policy is eligible for applicable tax benefits u/s 80D of the Income Tax Act, 1961 and amendments thereof.

For Care Health Insurance Limited


(Formerly known as Religare Health Insurance Company Limited)

Authorized Signatory Date of Issue: 12-Oct-2022 Place of Issue: Gurgaon, Haryana

IRDA Registration Number - 148


Registered office address : 5th Floor, 19 Chawla House, Nehru Place, New Delhi - 110019
CIN : U66000DL2007PLC161503

Note
1) In case of any discrepancy, the Policyholder is requested to contact the Company immediately.
2) Any amount paid in cash towards the premium would not qualify for tax benefits as mentioned above.
3) This document must be surrendered to the Company in case of Cancellation of the Policy or for the issuance of a fresh certificate in the case of any alteration in the Policy.

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