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Scar I-4ealth and Allied Insurance Company Limited

Onllne Business 349 Business Polnt, Unlt No.204 / 205,2nd Floor, Hear Sai Service, , Western Express Highway, , Andheri (E),
Mumbai -400088 , IUMBAI , 400088
Advance Premium Receipt

Customer Address : 1&385, 4th cross, beh•nd post office CoTzeAtfen FIA 1 T -0 4Y1272020503
1st main. nehru nagar, yeUhan#a
Offlee Code Z00002 - Online Business

Tewa rds the F T6wTng : PREMIUM RECEI ONL IWE POLICY


8. N CHQCC/DD N<' CHQOD@C Dt
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SO?DxM OtO000B00Di ‹om cc BANK 190820201488 TO.OB 201g
8380 ¥ 6

Note : Recipe Subje0 O reaIizozion oT Cheque OO


This 1s zmIy an e ence oT eceipt of money by Ifie comput
Risk DII commence once the proposal is examined and atcepted

IRDA Regn. No 129 Gmail Id : info@starhealth.in


Corporate Identity Number lJ6e010TN2005PLC058649

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