Renewal Intimation

Dear Mr Dholakiya Prashant

We thank you for choosing Apollo Munich as your Personal Accident partner.
Your Individual Personal Accident Standard Policy No. 2000018588-06 of Sum Insured Rs.300000 is due for renewal on 31-AUG-2016.

Relationship Cumulative
Insured Name DOB Age Benets Sum Insured (`)
to Policy Holder Bonus (`)
Mr Dholakiya Prashant 11-FEB-1982 34 Self Accidental Death 300000 105000
Temporary Total
Disablement 300000

Premium Due for Renewal (Includes adjustment for previous years excess amount, if any.) ` 500

Lets Uncomplicate. ONLINE RENEWAL with *EMI Options

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Committed to serve you always visit your portal at www.amhi.in QR Code
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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 190100/21001/2000018588-06

*Tax Savings Under Section 80D is subject to changes in the Income Tax law IRDAI Reg. No.: - 131 CIN: U66030AP2006PLC051760 AMHI /CR/H/0017

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Need Help? Call Toll Free: 1800 102 0333 or visit our website: www.apollomunichinsurance.com
 Inland Letter Card
Mr Dholakiya Prashant
c/2 304 3rd floor Shukan smile city
Shyam mill flates GST crossing road
New Ranip
Ahmedabad
Ahmedabad
Gujarat-382480

If undelivered, please return to:

Apollo Munich Health Insurance Co. Ltd. Central Processing Center, 2nd & 3rd Floor, iLABS Centre, Plot No. 404-405, Udyog Vihar, Phase-III,
Gurgaon-122016, Haryana Corp. Off. 1st Floor, SCF-19, Sector-14, Gurgaon-122001, Haryana; Reg. Off. Apollo Hospitals Complex, Jubilee Hills,
Hyderabad-500033, Telangana. Tel: +91 124 4584333 Fax: +91 124 4584111 Toll Free: 1800 103 0555
For more details on risk factors, terms and conditions please read sales brochure carefully before concluding a sale.
Tax laws are subject to change IRDAI Reg. No. - 131 CIN: U66030AP2006PLC051760 Website: www.apollomunichinsurance.com
UIN: IRDA/NL-HLT /AMHI/P-P/V.1/20/13-14 UIN:IRDA/NL-HLT /AMHI/P-T/V.1/6/13-14 UIN: IRDA/NL-HLT/AMHI/P-H/V.1/74/14-15
UIN:IRDA/NL-HLT /AMHI /MISC/P-H/V.1/10/13-14 UIN: IRDA/NL-HLT /AMHI/P-H/V.1/59/14-15