6/15/2021 Optional Top-up cover in our Group Mediclaim Policy

Optional Top-up cover in our Group

Mediclaim Policy
With reference to Management Circular LTC/HQ/DC-HR/420 dated 12th June, 2021 on Optional
Top-up cover in our Group Mediclaim Policy, you are requested to confirm your option.

1. Name *

D CHANDRA SEKHAR

2. PS Number *

81478

3. I would like to avail the Optional Top-up Cover in our Group Mediclaim Policy and
agree for recovery of additional premium mentioned in the Circular *

Yes

No

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6/15/2021 Optional Top-up cover in our Group Mediclaim Policy
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