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Renewal Advice

30-Nov-2016 Central Processing Center, iLABS Centre, 2nd & 3rd Floor,
Policy No.: 1000017115-06 Plot No 404-405, Udyog Vihar Phase - III , Gurgaon - 122016
Mr Ankurbhai Joshi Branch Name: Ahmedabad BO
B-202 Skycity Opp Gramhat Mai BO Address: 4th Floor, Radhika,, Opp. Mayor Bunglow,, Near Law Garden,,
Mandir Vallabh Nagar Road Kheda Ellise Bridge,, Ahmedabad- 380006.
Nadiad Tel : 079 - 40049671 - 74
Gujarat - 387002 Agent Code: 80098120
Contact No.: 9879001032 Agent Name: Mr NIRENKUMAR PATEL
Email Id: ankurjoshi@live.com Agent Contact No.: 9909004824

Dear Mr Ankurbhai Joshi

Your health insurance policy no. 1000017115-06 is due for renewal on 25-Dec-2016
It is time you make your health insurance strong enough to fight rising medical inflation and increasing age. Introducing ,
a limited period offer by Apollo Munich for hassle-free upgrades.
You Pay
OFFER Sum Insured Upgraded `10533

Note: Any change to existing sum insured, benet or product is subject to no claim have been lodged/paid under the policy and at discretion of the company.

Your existing Product details: Product Name: Easy Health Floater Standard
Relationship with Cumulative Amount Existing Sum
Insured Name Date of Birth Age Offer
Policyholder Bonus (`)** Claimed** Insured Sum Insured
Mr Ankurbhai Joshi 21-Dec-1977 39 Self 90000 200000 300000
Mrs Jagruti Joshi 07-Oct-1981 35 Wife
Baby Devanshi Joshi 19-Dec-2004 12 Daughter
Baby Kanksha Joshi 15-Nov-2011 5 Daughter

Premium (Incusive of all taxes) `9306 `10533

Recommended Offer
Lets Uncomplicate.
Committed to serve you always ONLINE RENEWAL with *EMI Options
To Renew in 3 Easy
Policy Renewal made easy, Scan Steps
QR Code Scan QR Code
visit your portal at www.amhi.in
to Renew Verify Policy Details
or www.apollomunichinsurance.com Pay

*T&Cs Apply
Authorized Signatory

Step 1 Step 2 Step 3

TO RENEW Choose the
best renewal
To authorise us in
processing the selected
Send this slip along with your premium cheque/
DD in favour of Apollo Munich Health Insurance
VIA BRANCH SELECT option below. SIGN option, cut this slip & have SEND Company Ltd. on or before 25-Dec-2016
OR ADVISOR the NEFT details lled at
the reverse.
or visit your nearest Apollo Munich Branch.

Email ID: Alternate Contact Number:

Post commencement of your insurance policy with us, did you suffer from or are currently suffering from or have developed any disease/ illness/ injury/
accident or medical condition other than common cold or fever?
Yes No

Offer Existing Plan Signature

Renew my
Policy with
Rs 10533 Rs 9306

Recommended Offer
OFFER : EXPLAINED Central Processing Center, iLABS Centre, 2nd & 3rd Floor,
Plot No 404-405, Udyog Vihar Phase - III , Gurgaon - 122016

the unbelievable health plan.

Unbelievable MULTIPLIER Benefit
For every claim free year, we increase your basic sum insured
by 50% upto a maximum 100%.
Unbelievable RESTORE Benefit
Reinstates the basic sum insured in case you exhaust your coverage
amount in a policy year at no extra charge

SIX PACK Make your health insurance stronger

to ght your growing health risks
Apollo Munich Introduces hassle free upgrades to higher sum insure to acknowledge your
requirement for the right health cover Add to your health insurance to make your
health insurance stronger.
Higher Tax Rebate under Section 80D (Up to Rs 25,000)
Beat Medical Ination
No Medical Tests required for Increasing Your Cover

WE A Travel Insurance Solution Insurance and Wellness Program for Diabetics
Insurance Solution for Dengue For Planned Medical Treatment Abroad

To Know More : Call your Advisor Call Toll Free : 1800 102 0333
Points to Note
Premium is subject to change due to revision in tax rate, change in age and revision in premium as approved by IRDAI
Tax Savings U/S 80D is subject to change in the Income Tax law.
*The renewal premium is computed based on the age of the insured person as on the renewal date and after adjustment of previous years excess amount, if any.
**Cumulative Bonus (CB) given is as on the date of the letter. Any claim registered after this date, CB will be adjusted accordingly.
Online Renewal option is only available for existing policy terms and conditions till renewal due date
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 Branch.

Please fill NEFT form while submitting the premium, the same may be downloaded from our website or filled at any of our AMHI Branch.
Please use Change Request Form for any changes in the existing policy. The same may be downloaded from our website or filled at any of our AMHI branches.
This being a Floater Policy,Sum Insured/Cumulative Bonus indicated is for all members covered in the policy.
For AMHI reference, policy no. is 190100/11051/1000017115-06

Apollo Munich Health Insurance Co. Ltd. Tel : +91 124 4584333 Fax : +91 124 4584111 Email: customerservice@apollomunichinsurance.com For more details on risk factors, terms and conditions
please read sales brochure carefully before concluding a sale. IRDAI Reg. No.: - 131 CIN: U66030AP2006PLC051760 Tax laws are subject to change. UIN: IRDA/NL-HLT/ AMHI/P-H/V.II/1/13-14
UIN:IRDA/NL-HLT /AMHI/P-T/V.1/6/13-14 UIN:IRDA/NL-HLT /AMHI /MISC/P-H/V.1/10/13-14 UIN: IRDA/NL-HLT/AMHI/P-H/V.1/74/14-15 UIN: IRDA/NL-HLT /AMHI/P-H/V.1/59/14-15

NEFT details
Mandatory details required to process all payment due in relation to your policy including refunds (if any) and / or claims directly to your bank account
Particulars of Bank Account:
Name as in Bank Account:
Bank Name:
Bank Branch: Bank Account Number:
MICR No.: IFSC Code:

I agree and undertake to intimate in writing to Apollo Munich about any change in bank account details. I also hereby certify that the particulars furnished above are
correct to the best of my knowledge.

Proposer/Policy holders Signature  Date : D D M M Y Y

DISCLAIMER: APOLLO MUNICH shall not be liable to anybody, in any manner, whatsoever if the NEFT transaction does not complete for any reason whatsoever
including without limitation- failure on part of the Bank/s involved to perform any of their obligations for aforesaid NEFT transaction or incomplete/incorrect information
by Customer/Policy Holder. Aforesaid NEFT transaction shall be governed by applicable Reserve Bank of India rules, directions & guidelines and shall be subject to
participating Bank user terms and conditions related to NEFT facility. Apollo Munich shall be indemnified against any loss/damage/claims caused to Apollo Munich in
carrying out your aforesaid NEFT instructions.