We thank you for choosing Apollo Munich as your Personal Accident partner.
Your Individual Personal Accident Standard Policy No. 2000109701-01 of Sum Insured Rs.5000000 is due for renewal on 22-JUN-2016.
Relationship Cumulative
Insured Name DOB Age Benets Sum Insured (`)
to Policy Holder Bonus (`)
Mr Arora Ajaykumar Veerbhan 25-JAN-1974 42 Self Accidental Death 5000000 500000
Temporary Total
Disablement 500000
Premium Due for Renewal (Includes adjustment for previous years excess amount, if any.) ` 5983
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Points to note:
Please use Change Request Form for any changes in existing policy, the same may be downloaded from our website. or filled at any of our AMHI Branches.
Please fill NEFT form while submitting the premium, the same may be downloaded from our website or filled at any of our AMHI Branches.
Please contact us prior to renewal in case of any change in the nature of duties/occupation of any person insured under this policy or any other desired change.
Please note that CB is available for selected benefits like - AD, PTD, and PPD only wherever provided.
Renewal premium mentioned above is inclusive of service Tax and cess as applicable.
For AMHI reference Policy No. is 190100/21001/2000109701-01
*Tax Savings Under Section 80D is subject to changes in the Income Tax law IRDAI Reg. No.: - 131 CIN: U66030AP2006PLC051760 AMHI /CR/H/0017
Need Help? Call Toll Free: 1800 102 0333 or visit our website: www.apollomunichinsurance.com
Inland Letter Card
Mr Arora Ajaykumar Veerbhan
C-1003 Sanskar Tower B/H
Ajanta Ellora Appartment
Thaltej
Ahmedabad
Ahmedabad
Gujarat-380054