Premium Receipt
Dear Mr. Mahesh Nukala
103, Ekadantha Nilayam
KRCR Colony Bachupally
Hyderabad, Telangana-500090
We acknowledge the receipt of payment towards the premium of the following health insurance policy:
Policy Holder's Name Mr. Mahesh Nukala Policy Number 30607540202498
Plan Opted for Family First Silver 5 lacs + 25 lacs Sum Insured (Rs) 30,00,000
Commencement Date 20/05/2024 Expiry date 19/05/2025
Net Premium (Rs.) 59,565.00
CGST @9% (Rs.) 5,360.00
SGST @9% (Rs.) 5,360.00
Stamp Duty (Rs.) 1.00
Gross Premium (Rs.) 70,287.00
*Stamp Duty
*Insurance policy is subject to clearance of premium paid
Details at persons Insured:
Name of person Insured Age Gender Relationship to policy holder Individual Cover(Rs.)
(Only in case of family first)
Mr. Mahesh Nukala 33 M Applicant 5,00,000
Mr. Sitaramaiah Nukala 62 M Father 12,50,000
Mrs. Lakshmi Nukala 61 F Mother 12,50,000
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 Ad, 1961 and any amendments made thereafter.
In the event of non-realization of premium, Tax benefits cannel 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.
GSTIN number. 29AAFCM7916H1Z4
For & On behalf of Max Bupa Health Insurance Co. Ltd.
Ashish Mehrotra
Managing Director & Chief Executive Officer
Location : Hyderabad
Date: 19/05/2024