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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-2023 to 12-Oct-2024

Premium Details
Particulars Amount (in Rs.) S.no. Receipt Number Amount Mode of Payment
1 40872367 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 Masood Ahmad 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-2023 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 ca se of any discre pancy, the Policyholde r is re quest ed to contact the Co mpa ny i mmediately.
2) Any a mount paid in cash towa rds the pre mi um w ould not qualify for tax benefits as me ntione d above.
3) This docume nt must be surrendere d to the Co mpa ny in case of Ca ncellation of the Policy or for the issuance of a fresh certificate in the case of any alteration in the Policy.

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