RENEWAL NOTICE

Policy No.P/700002/01/2018/054679
Date : August 15 2018
PRATAP JOGDAND Online Business - 700002
At post Yeota Tq Kaij 349 Business Point, Unit No.204 / 205,2nd Floor,
Dist Beed Near Sai Service,
Andhle-Wadi,Bid,Maharashtra-431123 Western Express Highway,
94XXXXXX51 / - /prXXXXXXX@gmail.com Andheri (E), Mumbai -400069
MUMBAI - 400069
1800-425-2255
online@starhealth.in

Proposer/Customer Code : 3845975 / AA0002285575 Reference No : R/700002/01/2019/053175-Advance Receipt

Dear Customer,
We value your relationship with us and thank you for the same. We wish to bring to your kind notice that your Mediclassic Insurance Policy is due for
renewal on 30/10/2018. The renewal premium, including tax, works out to Rs.3812/- as per details given below.

S. No Name of the Insured Date of Birth Age as on renewal Sum Insured(Rs.) Premium(Rs.)

1 Pratap Vilasrao Jogdand 18/12/1992 25 200000 3230

Total 3230

GST@ 18% 582

Total renewal premium 3812

If there is any change in the list of insured persons to be covered and/ or you desire any changes in the sum insured etc., please inform us
immediately so that we can work out the revised renewal premium and advise you. Otherwise, please arrange to remit the renewal premium of
Rs.3812/- on or before 29/10/2018. Please note that the payment of premium by any mode other than by cash will be eligible for benefit under Sec. 80 D of
the Income Tax Act. If you pay by Cheque or DD, please make payment in favour of ''Star Health and Allied Insurance Company Limited.''.

We request you to renew the policy before the renewal date to ensure continuity of cover and benefits.
''Please furnish your mobile number and email id in the space provided below to enable our company to communicate with you as our valued
customer, whenever required''.
Mobile Number : Email id :
You can also update your Address / Mobile No / E Mail ID, online by visiting our website www.starhealth.in

Please note that this policy can be renewed online or using your mobile. Kindly log on to our website www.starhealth.in to know the details.
You can avail coverage under our Personal Accident (Accident Care) policy also. For details, please contact our Agent/ Office.
Always at your service. Intermediary Name/Code: Direct/OL0000000001
For Star Health and Allied Insurance Company Limited
Phone No :
Fulfiller Name/Code : 700002 SO CODE/SO700002
Authorised Signatory
Phone No :

IRDA Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID : info@starhealth.in

Star Health and Allied Insurance Co.Ltd

Spot Acknowledgement
Acknowledged hereby receipt of Cash / Cheque / DD No.____________________ Dt _____________ for Rs. __________/- drawn on
_____________ from Mr./Mrs/Ms._____________________________ towards premium for the renewal of Policy No. _________________________.
A system generated "Advance Premium Receipt" for this payment will follow from our office, which is subject to realization of the cheque.

_________________________________ ______________________________
Name & Code of the Authorised Person Signature of Authorised Person
Place:
Date:

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 :U66010TN2005PLC056649 Email :support@starthealth.in Website :www.starhealth.in IRDAI Regn.no: 129