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MR SUSHMA S J
NO 87/A 16TH CROSS VV MOHALLA Universal Protection Policy
NEAR RAYMOND SHOWROOM KD ROAD
Policy No. : I5140205
MYSORE 570002
KARNATAKA
k
INDIA 570002
i*de
xf_3570/4175
Phone Number: 9886708288
E-mail: ENGGSUSH@[Link]
Welcome toWelcome
BhartitoAXA
Bharti AXA General Insurance Co. Ltd.
General Insurance Co. Ltd.
I5140205
Dear MR SUSHMA S J,
We thank you for choosing Bharti AXA General Insurance. The policy kit for your Universal Protection Policy, with Policy No. I5140205 is
enclosed. We understand that uncertainties don't strike with a warning and are hence committed to securing you.
With millions of customers trusting their insurance needs with us, we are happy to be your preferred protection partner.
Your policy Kit includes the following:
Tax Invoice Policy Schedule Policy Wordings Ombudsman List
This Policy has been prepared based on the information furnished by you. We request you to kindly go through the complete policy document
In case a duly signed proposal form has not been submitted, information received from you, whether orally or in writing, has been
specified in the Policy document on the basis of understanding provided to the Company.
If you find any discrepancy in the policy document, kindly write to usimmediately for necessary rectification in writing within 15 days from
the date of receipt of the policy document. In the absence of any communication from your end within 15 days of receipt of the Policy
document, the contents of the policy shall be deemed as accepted.
In case of a claim, please mail us at claims@[Link]. We assure you of a hassle-free claims settlement process.
Should you require any further assistance on your policy or would like to know more about our products, please do reach out on:
Thank you once again for choosing us and we look forward to our continued relationship.
Warm Regards,
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Authorized Signatory
Registered Office Address: First Floor, Hosto Centre, No. 43, Millers Road, Vasanth Nagar, Bangalore -560052.
Corporate Office: 19th Floor, Unit No. 1902, Parinee Cresenzo, 'G' Block, Bandra Kurla Complex, Behind MCA Ground, Bandra East, Mumbai-400 051, Maharashtra
IRDAI Reg. No. 139
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Sri Srinivasa Plaza, No. 1,
3rd Floor,5th Stage,
Adichunchanagiri Main Road,
Kuvempunagar, Mysuru-570023
Tel:0821-4261600 Fax:
Email: [Link]@[Link]
Universal Protection Policy TAX INVOICE
NEW BUSINESS Original
Policy No. : I5140205
Advisor Details
Advisor ID : E4000792
Advisor Name : HDFC BANK LIMITED (E4000792)
Advisor Contact : (Office) 022 6160 6161
Insured : SUSHMA S J
Address : NO 87/A 16TH CROSS VV MOHALLA
NEAR RAYMOND SHOWROOM KD ROAD
MYSORE 570002
KARNATAKA
INDIA 570002
Contact Number : 9886708288
Email Id : ENGGSUSH@[Link]
Period of Insurance : From hours on 07/03/2020 to midnight on 06/03/2025
Transaction No. : 1
Accounting Month / Year : 12 2020
Billing Currency : INR Exchange Rate : 1.0000
Gross Premium Charges Total Payable
INR INR INR
1,313.00 GST 236.34 1,549.34
Service Tax Registration No. AADCB2008DST001
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Authorized Signatory
Issued by - INB0799 on 11/03/2020 (R)
BHARTI AXA GENERAL INSURANCE COMPANY LTD
HOSTO CENTRE No.43, Millers Road,Vasanth Nagar. Bangalore - 560046. INDIA. IRDA Regn. No.139
Tel: 1800-103-2292 (Toll free) Fax: 80 40260101 Email: [Link]@[Link]
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Sri Srinivasa Plaza, No. 1,
3rd Floor,5th Stage,
Adichunchanagiri Main Road,
Kuvempunagar, Mysuru-570023
Tel:0821-4261600 Fax:
Email: [Link]@[Link]
Universal Protection Policy POLICY SCHEDULE
NEW BUSINESS Original
Policy No. : I5140205
Advisor Details
Advisor ID : E4000792
Advisor Name : HDFC BANK LIMITED (E4000792)
Advisor Contact : (Office) 022 6160 6161
Policy Details
Policy No. : I5140205
Policy Type : Universal Protection Policy
Period of Insurance : From hours on 07/03/2020 to midnight on 06/03/2025
Premium : INR 1313.00
GST : INR 236.34
Total Premium Paid : INR 1,549.34
Insured Details
Insured Name : SUSHMA S J
Address : NO 87/A 16TH CROSS VV MOHALLA
NEAR RAYMOND SHOWROOM KD ROAD
MYSORE 570002
KARNATAKA
INDIA 570002
Contact Number : 9886708288
Email Id : ENGGSUSH@[Link]
BHARTI AXA GENERAL INSURANCE COMPANY LTD
HOSTO CENTRE No.43, Millers Road,Vasanth Nagar. Bangalore - 560046. INDIA. IRDA Regn. No.139
Tel: 1800-103-2292 (Toll free) Fax: 80 40260101 Email: [Link]@[Link]
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Sri Srinivasa Plaza, No. 1,
3rd Floor,5th Stage,
Adichunchanagiri Main Road,
Kuvempunagar, Mysuru-570023
Tel:0821-4261600 Fax:
Email: [Link]@[Link]
Universal Protection Policy POLICY SCHEDULE
NEW BUSINESS Original
Policy No : I5140205
RISK DETAILS
Risk Number :1
Business/Occupation : LOAN
Situation of Risk
NO 87/A 16TH CROSS VV MOHALLA NEAR RAYMOND SHOWROOM KD
ROAD MYSORE 570002
Sum Insured
Item Property Insured
INR
1 Critical Illness 100,000.00
Subject to the Memoranda, Clauses, Warranties & Endorsements attached hereto:
BHARTI AXA GENERAL INSURANCE COMPANY LTD
Authorized Signatory
Important: This Schedule should be read in conjunction with the Terms and Conditions of the Policy.
Grievance
“For redressal of your grievance, if any, you may approach any one of the offices [Link] issuing [Link] Office. In case, you are not satisfied with our
own grievance redressal mechanism; you may also approach Insurance Ombudsman. Details of Insurance Ombudsman offices are available at IRDA website:
[Link] ,or on the website of General - Insurance Council: [Link] oron the company website [Link]”
Issued INB0799 on 11/03/2020
by -
BHARTI AXA GENERAL INSURANCE COMPANY LTD
HOSTO CENTRE No.43, Millers Road,Vasanth Nagar. Bangalore - 560046. INDIA. IRDA Regn. No.139
FIREPOL Tel: 1800-103-2292 (Toll free) Fax: 80 40260101 Email: [Link]@[Link]
TAX INVOICE U/S 31 of CGST Act, 2017
Supplier's Name : BHARTI AXA GENERAL INSURANCE COMPANY LTD
Supplier's address : Sri Srinivasa Plaza, No. 1,
3rd Floor,5th Stage,
Adichunchanagiri Main Road,
Kuvempunagar, Mysuru-570023
Tel:0821-4261600 Fax:
Email: [Link]@[Link]
GSTIN of Supplier : 29AADCB2008D1Z8
Sold To Invoice No. : 2003996998
Buyer Name : SUSHMA S J Date : 11/03/2020
Buyer Address :
NO 87/A 16TH CROSS VV MOHALLA
NEAR RAYMOND SHOWROOM KD ROAD
MYSORE 570002
KARNATAKA
INDIA 570002
Contact Number : 9886708288
Email Id : ENGGSUSH@[Link]
Location of Recipient (State) : 29 -Karnataka Location of Supply (State) : 29 -Karnataka
GSTIN of the buyer/ Unique ID : UNREGISTERED
IGST CGST SGST
Gross
Sr. No. Description SAC Value Total Value
Rate Amount Rate Amount Rate Amount
I5140205/00001/MCI
01 997133 1,313.00 0.00 0.00 9.00 118.17 9.00 118.17 1,549.34
/0001/MCI
Total Amount Due 1,549.34
Total Invoice Value (In figures) 1,549.34
Total Invoice Value (In words) One Thousand Five Hundred Forty Nine Rupees and Thirty Four Paisa
Remarks, if any
For Bharti Axa General Insurance Co. Ltd.
Authorised Signatory
80D Certificate
This is to certify that MR SUSHMA S Jhas paid Rs.1549 towards Critical Illness premium under
Universal Protection Insurance Policy for the Policy Period from 07/03/2020 to 06/03/2025 and
Policy number I5140205 as mentioned on the Policy Schedule and is eligible for Deduction under Section
80-D of Income Tax (Amendment) Act, 1986
“The deduction under section 80D is allowable subject to a maximum limit of Rs. 25,000/- Per Annum where the
Critical Illness Insurance has been taken for the individual/his spouse/ & his dependent children. Incase any of the
said members is senior citizen then the limit would be Rs.50,000/-.Similarly, aggregate deduction for health
insurance including Critical Illness premium and medical expenditure incurred in respect of parents would be limited
to Rs.25,000/-. In case any of the parents is senior citizens the limited would be Rs. 50,000/-.
In respect of HUFs, the maximum amount of deduction allowable under Section 80D is Rs.25,000/- and in case the
member of the family is a senior citizen the limit would be Rs.50,000/- in all scenarios.
Note: - Above deduction for Self/Spouse/Children & Parents is applicable to an Individual. And for an HUF the
exemption limit is restricted to Rs. 50,000/- in all the scenarios.
The above eligibility is subject to meeting other conditions provided in Section 80.
Thank you for insuring with us.
Sincerely,
Rohit Kohli
Authorised signatory
