l A l\1ax India Joint Venture

MaxBupa
Heolth Cmu,-onco,
Your health first

Premium Receipt
Dear Ms. Charmi Thakkar

Ahmedabad
Gujarat - 380001
we acknowe t f oavment toward s the orem1um o f th e fo II ow1nq heaIth insurance oo 1 cv:
I d1qe the rece1'lo

Policy Holder s Name Ms. Charmi Thakkar (On behalf of Parents) Policy Number 90824116915965

Plan Opted for Family First Silver 25 lacs + 25 lacs Sum Insured (Rs) 50,00,000

Commencement Date# 12/04/2023 Expiry date 11/04/2024

Net Premium(Rs.) 54,700.00
Goods & Service Tax(Rs.) 9,846.00

Gross Premium (Rs.) 64,546.00

*Stamp Duty
,Issuance of policy is subject to clearance of premium paid
Details of persons Insured:
Name of person Insured Age Gender Relationship to policy holder Individual Cover(Rs.)
(Only in case of Family First)

Mr. Rajesh Thakkar 63 M Applicant's Father 25,00,000

Mrs. Anjana Thakkar 52 F Applicants Mother 25,00,000

Upon issuance of this receipt, all previously issued temporary receipts, if any, related to this policy are considered null
and void. For the purpose of deduction under section 80D, the benefit shall be as per the provisions of the Income Tax Act,
1961 and any amendments made thereafter.
In the event of non-realization of premium, Tax benefits cannot be obtained against this premium receipt.
For your eligibility and deductions please refer to provisions of Income Tax Act 1961 as modified and consult your tax
consultant.

GST Registration number: 07AAACD0213H 1ZC

For & On behalf of Max Bupa Health Insurance Co. Ltd.

Shivkumar Dubey
Chief Executive Officer
Location: Mumbai
Date : 12/04/2023