Renewal Intimation

K C KULLAYAPPA NAIK .
QIS COLEGE OF ENGEENERING TECHNOLOGY Date : 10-Oct-2023
VENKGAMUKKA PALEM
PONDUR ROAD .
PRAKASAM ANDHRA PRADESH-523272
Contact No.: XXXXXXXX59 Email Id:

Due Date : 15-Dec-2023

Branch Name : HYDERABAD (1ST) - BANJARA HILLS

Intermediary Name :
Intermediary Code :
Intermediary Contact Number :
Tier Type : Tier 2

Dear K C KULLAYAPPA NAIK .,

We thank you for placing your trust and choosing us for your insurance needs. We hope you keep enjoying the continuity benefits by renewing your my:health
Suraksha policy before the expiry date. The premium amount paid under this policy qualifies for deduction under section 80D of the Income Tax Act. Please note, the
income tax rules are subject to change.

HS Silver New with SI Rebound & ECB Family Floater Policy - 2 Year - 2952201237841303000
Opted Rider / Add on -
Relationship with Critical Illness Cumulative Current Sum Insured (`)
Member ID Insured Name Date of Birth Age
Policyholder Rider Sum Insured Bonus
2023310032336972 K C KULLAYAPPA NAIK . 13/02/1982 41 Self
2023310032336973 K ANNAPURNA 15/02/1989 34 Wife
240000 300000
2023310032336974 K LIKITHA 06/08/2007 16 Daughter
2023310032336975 K KULLAINATH 12/06/2009 14 Son
Total Premium (inclusive of all taxes) ₹ 33630

Ways to renew your policy https:/www.hdfcergo.com/renew-hdfc-ergo-policy

Click here to renew https://play.google.com/store/apps/details?id=com.pms.activity&hl=en_IN
Click here to renew on HDFC
ERGO App
If the policy is renewed after the due date, the quoted premium is subject to change based on the actual age as on policy transaction date.If you wish to make any changes
in the policy, please visit www.hdfcergo.com >> Help >> Make changes/endorsement. The total premium is inclusive of base & rider premium where applicable.

Authorized Signatory
For 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

For Branch Visit: Please fill in the details to renew your policy at any of our branches. In case of Cheque/DD, please issue in the name of HDFC ERGO General Insurance Company Limited

Terms & Conditions Apply. *Sum insured rebound is applicable for subsequent claims that arise during the policy year. ~Limits and details for this benefit shall be as per the opted Basic Sum Insured. HDFC ERGO
General Insurance Company Limited. IRDAI Reg. No. 146. CIN: U66030MH2007PLC177117. Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay Reclamation, H. T. Parekh Marg,
Churchgate, Mumbai - 400 020. For more details on the risk factors, terms and conditions, please read the sales brochure / prospectus before concluding the sale. Trade Logo displayed above belongs
to HDFC Ltd and ERGO International AG and used by the Company under license. UIN: my:health Suraksha - HDFHLIP23031V062223 | UIN: my Health Suraksha - HDFHLIP21473V052021