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    Tax Certificate: R Margabandhu

    Uploaded by

    NALLAMUTHU S

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Tax Certificate: R Margabandhu

    Uploaded by

    NALLAMUTHU S
    4 views2 pages

    Original Title

    80D

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4 views2 pages

    Tax Certificate: R Margabandhu

    Uploaded by

    NALLAMUTHU S

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Tax Certificate

    To
    Customer Name : Mr.S.NALLAMUTHU
    Address S/O SIVASAMY MIG-1023, TNHB
    : PHASE-16,GOKUL NAGAR ROAD, KURINJI NAGAR,
    Hosur
    635109

    Subject: Premium Certificate for the purpose of deduction under Section 80 D of Income Tax Act 1961 and any amendments
    made thereafter.

    Dear Customer,
    This is to certify that the company has received the premium for Health Insurance Coverage under "Health Insurance Policy"
    with the following details.

    Mr.S.NALLAMUTHU
    Policy Holder's Name : P/121515/01/2023/007392
    Policy No. :

    Policy Name : Family Health Optima Total Premium : 19015


    Insurance Plan
    Policy End Date :
    Policy Start Date : 12/01/2023 11/01/2024
    Servicing Branch
    Customer GSTIN : GSTIN :
    - 33AAJCS4517L1Z5

    Customer Code : Premium Terms :


    Non-Installment
    AA0028849468
    Servicing Branch
    Servicing Branch # 4-4, First Floor,Abhinav Towers,
    121515 - Branch Office - Address :
    Code & Name : Denkanikottai Road,
    Hosur
    Shanthi Nagar,Above ICICI BANK & Opp CSI
    Branch Office - Hosur Church ,Hosur - 635 109.

    IGST CGST SGST


    Receipt Date Basic Premium Total Premium
    % Rs. % Rs. % Rs.

    11-JAN-23 16115 0 0 9 1450 9 1450 19015

    The Product is eligible for deduction us 80D of the Income Tax Act 1961 and any amendments made there to.

    CN=R Margabandhu,
    Financial Year
    R Margabandhu
    SERIALNUMBER=00f82dcf76fdf6537e3331f8479ef45e7b4f3861b15
    475488cdf3b2c3c26c3c9, ST=TAMIL NADU, OID.2.5.4.17=600034,
    OID.2.5.4.20=513b7b33f2ce960f23148ea208744690e09638750806
    Amount
    ca65f89e15179f5fe50a, OU=UNDERWRITING - Chief Risk Officer,
    O=STAR HEALTH AND ALLIED INSURANCE COMPANY, C=IN.
    Date :Fri Jan 20 13:24:17 IST 2023

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll
    Free No:1800-425-2255 / 1800-102-4477,CIN : L66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129
    2022-2023 19015

    Note:-
    1) This certificate must be surrendered to the Insurance Company of insurance of fresh Certificate in case of Cancellation of the
    Policy or any alternation in the Insurance affecting the Premium.
    2) This Certificate is reflecting the Premium(s) Receipts cleared at the time of generating this certificate.
    3) The Liability of any changes in the Premium Receipt's clearing status post generating the certificate shall be upon the
    policy holder.

    Date : 20/01/2023 For and On behalf of

    Place : Hosur Star Health and Allied Insurance Company Ltd

    IRDA Regn. No 129


    Corporate Identity Number L66010TN2005PLC056649

    Email ID : info@starhealth.in Authorised signatory.

    Regd.&Corporate Office:1,New Tank Street,Valluvar Kottam High Road,Nungambakkam,Chennai - 600034,Phone : 044 -28302700 / 28288800 Toll Free Fax No: 1800-425-5522 Toll
    Free No:1800-425-2255 / 1800-102-4477,CIN : L66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129

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