HDFC ERGO General Insurance Company Limited
2950204439046600000
Mr Reji M Pillai
Flat No. 304 , 3 Rd Floor ,Eco Nest
Chs Ltd Military Road,Marol
Andheri East Mumbai
Maharashtra, 400059 , Contact No :
9152996478
Date : 23/12/2022
Dear Mr Reji M Pillai
Thank you for choosing HDFC ERGO as your preferred insurance partner. We welcome you to be a part of our family !
Your Health insurance policy reference no 2950204439046600000 is confirmed on the basis of the information and declaration given by you.
The details of coverage are mentioned in the enclosed policy schedule of insurance.
We value your relationship with us and assure you our best services at all times and we look forward to serve you.
Now you can view your policy details and health card at your fingertips. Download our Mobile App now and experience convenience today!!
For HDFC ERGO General Insurance Company Ltd.
Vivek Rasgotra
Senior Vice President Operations and Services Group
HDFC ERGO General Insurance Company Limited
Dear Reji M Pillai,
Subject : Certificate for the purpose of deduction under section 80 D of Income Tax (Amendment) Act, 1986
This is to certify that we have received an amount of ` 51,313.00 towards premium for Critical Illness Section
of Certificate No. 2950204439046600000 issued to Reji M Pillai for the period 22/12/2022 to 21/12/2026.
Note: This is subject to the provisions of Section 80D of income tax (Amendment) Act, 1986 as amended from time to time.
Date : 22/12/2022 For HDFC ERGO General Insurance Company Ltd.
Certificate Issuing Office: Mumbai
Duly Constituted Attorney
HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146 UIN:HDFPAIP10004V010910. Customer Service Address: D 301, 3rd Floor,
CIN : U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
House, 165/166 Backbay Reclamation, H.T.Parekh Marg, Churchgate, Mumbai - 400 020. Customer Service No : +91 22-62346234/+91-120 6234 6234 | www.hdfcergo.com
HDFC ERGO General Insurance Company Limited
Certificate Of Insurance
Sarv Suraksha
( Sarv Suraksha PRO )
2950204439046600000 0
Certificate No. :2950 2044 3904 6600 000 Issuance Date :23/12/2021 2
Period of Insurance : From 22/12/2022 00:00 hrs To 21/12/2026 Midnight
2
Invoice No. : 204439046600000 Premium Frequency :One Time 1
Mr Reji M Pillai Proposer Name : Mr Reji M Pillai Territorial Limits :Worldwide
Flat No. 304 , 3 Rd Floor ,Eco Nest ChsLtd Military Customer Id :100996235626 PAN
Road,Marol Andheri East Mumbai Master Policy No. :2999203617347400
Maharashtra, 400059, Contact No : 9152996478 Master Policy Holder :HDFC BANK LTD
Name
EIA No. : Not provided
Payment Details : SL_ PL_CI_477_221221 , Bank Name:HDFC BANK LTD
Email ID : REJIMURALIDHARAN@GMAIL.COM
Insured Details
Insured’s Name Relationship Date of Birth Benefit
Kamlakshi Amma Elder Mom 16/05/1955 100%
Nominee Details
Insured’s Name Nominee Name Relationship Benefit
Kamlakshi Amma Vijaya M Pillai Sister 100%
Coverage Details
Coverage Premium (`) Sum Insured (`) Coverage Premium (`) Sum Insured (`)
Accidental Death 10558 80,00,000 Credit Shield Insurance 3,125 10,00,000
Permanent Total Disability/ Permanent Partial Disability 11739 80,00,000 Critical Illness 11,063 50,00,000
Accidental Hospitalization 7000 10,00,000
The Policy Wording attached herewith includes all the standard coverage offered by the Company to its customers. Your entitlement for coverage/benefits shall be restricted to the coverage/benefits
as mentioned in this Certificate of Insurance issued to you. Please read the Policy Wording in conjunction with the Certificate of Insurance. For any clarification please call our toll free number.
Premium Details ( ` )
Basic Premium 43,485.00
Loadings 0.00
GST 18% : 7,827.00
Total Premium 51,313.00
Processing Centre 6th Floor, Leela Business Park, Andheri-Kurla Road, Andheri(E), Mumbai 400 059.
For Claim/Policy related queries call us at +91- 22 6234 6234/+91- 120 6234 6234 or Visit Help Section on www.hdfcergo.com for policy copy/tax certificate/make changes/register & track claim.
If the premium is not realised the Certificate shall be void from inception.Consolidated stamp duty for this Insurance Policy is paid by Demand Draft, vide
Receipt/Challan noLOA/CSD/157/2021/429214 dated 14/10/2021 as prescribed in Government of Maharashtra Order No. Mudrank-2017/CR.97/M-1, dated the 09th
January 2018". , GST Registration No: 27AABCL5045N1Z8.GST for this invoice is not payable under reverse charge basis.
Branch :leela business park, 6th flr, andheri - kurla rd, mumbai
Agent Name :HDFC BANK LTD For HDFC ERGO General Insurance Company Ltd.
Agent Code :201587086428 Tel No. : 91-22-61606161
* For description of coverages, kindly refer policy wording.
Duly Constituted Attorney
"For detailed policy terms and conditions please visit our website https://www.hdfcergo.com/download/policy-wordings."
CIN : U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165/166
Backbay Reclamation, H.T.Parekh Marg, Churchgate, Mumbai - 400 020.
HDFC ERGO General Insurance Company Limited. IRDAI Reg No.146
UIN:HDFPAIP10004V010910. Customer Service Address: D 301, 3rd Floor,
Eastern Business District (Magnet Mall), LBS Marg, Bhandup (West), Mumbai - 400 078.
Customer Service No : +91 22-62346234/+91-120 6234 6234 | www.hdfcergo.com
