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80D 556166473-Medical-Insurance-Premium-Receipt-Family - Template

This document is a premium receipt from HDFC ERGO General Insurance Company for Mr. Kanish Kanth's health insurance policy. The policy covers a sum insured of Rs. 50,00,000 for his parents, with a gross premium of Rs. 51,404.64, effective from April 3, 2024, to April 2, 2025. It also includes tax deduction information under section 80D of the Income Tax Act, 1961.

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Kanish Kanth
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54 views1 page

80D 556166473-Medical-Insurance-Premium-Receipt-Family - Template

This document is a premium receipt from HDFC ERGO General Insurance Company for Mr. Kanish Kanth's health insurance policy. The policy covers a sum insured of Rs. 50,00,000 for his parents, with a gross premium of Rs. 51,404.64, effective from April 3, 2024, to April 2, 2025. It also includes tax deduction information under section 80D of the Income Tax Act, 1961.

Uploaded by

Kanish Kanth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HDFC ERGO General Insurance Company Limited

Premium Receipt
Dear Mr. Kanish Kanth,
No 3, Madley Road
T Nagar,
Chennai 600017
We acknowledge the receipt of payment towards the premium of the following health insurance policy:
Policy Holder's Name Mr. Kanish Kanth Policy Number 30209770201200

Plan Opted for Family First Silver 50 lacs Sum Insured (Rs) 50,00,000

Commencement Date 03/04/2024 Expiry date 02/04/2025


Net Premium (Rs.) 43,563.25
IGST @ 18% (Rs.) 7,841.39
Gross Premium (Rs.) 51,404.64
*Insurance policy is subject to clearance of premium paid

Details at persons Insured:

Name of person Insured Age Gender Relationship to policy holder Individual Cover(Rs.)
(Only in case of family
first)
Mr. Manoharan 64 M Father 25,00,000
Mrs. Kasthuri 60 F Mother 25,00,000

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 Ad, 1961 and any amendments made thereafter. In
the event of non-realization of premium, Tax benefits cannel 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.

GST Registration number. 27AACCM3201E1Z3

For & On behalf of HDFC ERGO General Insurance


Company Limited

Location : Pune
Date:
17/04/2024 Ashish
Mehrotra Managing Director & Chief
Executive Officer

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