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The New India Assurance Co. Ltd. (Government of India Undertaking)
The New India Assurance Co. Ltd. (Government of India Undertaking)
Policy Details
Policy Number : 51300042200100000139 Business Source Code
Period of Insurance : From:24/12/2020 12:00:01 AM To: Dev.Off level./Broker/Corp. : Mr. MR KRIPA SINDHU DAS -
23/12/2021 11:59:59 PM Agent/IMF/POS/Web (DE00003508)
Aggregator
Premium: GST: Total (`) Stamp Duty Rupees (in words) Receipt No. & Date:
` 508 ` 91 ` 599 `15 RUPEES FIVE 5130008120000001
HUNDRED NINETY- 4658 - 22/12/20
NINE ONLY
Details of the Insured and/other Family members covered under the Policy: INDIVIDUAL
Sl. No Name of the Age Occupation Relation Medical Sum Risk Group
Insured Extension Insured
1 SHAMBHU PANDIT 26 Persons engaged Self Yes 282000 Risk Group I
in administrative
functions
Sl. No Cumulative Bonus Assignee Details Physical Excess War & Allied Cover opted
Defects/
Details
Amount Name Relation Sum Country Type of
Insured Period
1 0 AMULYA FATHER No / NA 0 0 NA NA
PANDIT
Signature Not
Verified
Policy No. : 51300042200100000139Document generated by 39453 at 22/12/2020 23:39:07 Hours.
Digitally signed
by Srinivasan Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Vaideswaran Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
Date: 2020.12.22
For redressal
23:39:07 IST of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own
grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website
http://newindia.co.in.
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THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)
The Policy Shall be subject to PERSONAL ACCIDENT INSURANCE ((Individual)) policy clauses attached herewith IN WITNESS
WHEREOF the undersigned duly authorized hereinto set his hand
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