Ref.

No: W108089095
Date: 31-Aug-2021

MANISH KUMAR
A 1/2 OM VIHAR PHASE 1 A UTTAM NAGAR
NEW DELHI
DELHI
110059

Risk Assumption Letter

Dear Sir/Madam,
Thank you for choosing ICICI Lombard as your preferred General Insurance service provider. We
understand that you have different choices available, and appreciate the fact that you have
placed your trust in us.
Please find attached herewith Policy No. 1015/L/COMHOME/226151491/00/000 which has been
issued based on the details furnished to us on 31-Aug-2021.
Please go through the details as furnished in the format and also as provided in the policy
document to ensure that they are in order. If you feel that there are any discrepancies/variations,
please write to us immediately for the necessary changes/rectification. In the absence of any
communication from you in this regard within a period of 15 days of receipt of this letter, we would
understand that you have accepted the contents and the coverage to be in accordance with your
proposal.
Thank you once again and look forward to a lasting relationship.

ICICI Lombard General Insurance Company Limited

IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 UIN : IRDAN115RP0005V01202021 ICICI Bharat Griha Raksha Policy
Mailing Address: Registered Office Address Toll free no : 1800 2666
601 & 602, 6th Floor, Interface 16 ICICI Lombard House,414, Veer Savarkar Alternate no : 86552 22666 (chargeable)
New Linking Road, Malad (West) Marg,Near Siddhi Vinayak Temple, E-mail : customersupport@icicilombard.com
Mumbai - 400 064 Prabhadevi, Mumbai 400 025 Website : www.icicilombard.com
 ICICI Bharat Griha Raksha Policy
SCHEDULE

Insured Details

Policy Number 1015/L/COMHOME/226151491/00/000

Issued At MUMBAI
Name of the Insured MANISH KUMAR
Mailing Address of the Insured A 1/2 OM VIHAR PHASE 1 A UTTAM NAGAR, NEW DELHI, DELHI - 110059

Intermediary Details
201440806554
Agency/Broker Code: 201440806554
Agency/Broker Name: India Infoline Housing Finance Limited
Agent's/Broker's Mobile No.: 9935787989
Agent's/Broker's Email ID: vishal.prasad@iifl.com
Policy Details

Period of Insurance From : 00:00 Hours of 30-Aug-2021 To : 23:59 Hours of 29-Aug-2031

Hypothecation Details INDIA INFOLINE HOUSING FINANCE LIMITED
Details of Property Insured As per Annexure II

Details of Sum Insured

Interest covered (for Option Opted) : Sum Insured

Home Buildings and Home Contents : 8869000

Add On Cover

Description : Sum Insured

Home Building Cover : 6335000
Terrorism : 6335000
Home Content Cover : 2534000
Premium computation

Basic Premium (`) : 38136.44

SGST : 3432.28
CGST : 3432.28
Total Amount : 45001

GSTIN No. : 27AAACI7904G1ZN

Place of Business : 414, ICICI Lombard House Veer Sawarkar Marg Mumbai-Prabhadevi Maharashtra 400025
Category : General Insurance Business Services 9971.

The stamp duty of ` 1 paid in cash or by demand draft or by pay order, vide Reciept / Challan No. CSD6920212091 dated 24-Jun-2021.

Subject otherwise to terms and conditions of ICICI BHARAT GRIHA RAKSHA POLICY.

Signed for and on behalf of the ICICI Lombard General Insurance Company Limited, at Mumbai on 31-Aug-2021.

ICICI Lombard General Insurance Company Ltd.

ICICI Lombard General Insurance Company Limited

IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 UIN : IRDAN115RP0005V01202021 ICICI Bharat Griha Raksha Policy
Mailing Address: Registered Office Address Toll free no : 1800 2666
601 & 602, 6th Floor, Interface 16 ICICI Lombard House,414, Veer Savarkar Alternate no : 86552 22666 (chargeable)
New Linking Road, Malad (West) Marg,Near Siddhi Vinayak Temple, E-mail : customersupport@icicilombard.com
Mumbai - 400 064 Prabhadevi, Mumbai 400 025 Website : www.icicilombard.com
Annexure – II

DETAILS OF PROPERTY INSURED

Attached to and forming a part of Policy No. : 1015/L/COMHOME/226151491/00/000

Location of Risk 1 : PLOT NO 45,KHASRA687, VILLAGE NAWADA COLNY, OM VIHAR PHASE 1A, UTTAM NAGAR, UTTAM NAGAR, WEST DELHI,
DELHI, INDIA, 110059, DELHI, NEW DELHI - 110059
Carpet Ares of Structure of Home in square metres : 1000
Rate of cost of construction (INR per square meters): 6335

Sections Sum Insured

Contents - Furniture, Fixtures and Fittings (home furnishing) 633500
Contents- Electrical/Electronic 633500
Contents - Other 633500
Contents - Valuable Contents 633500

Add On Cover -

Description : Sum Insured

Home Building Cover : 6335000
Terrorism : 6335000
Home Content Cover : 2534000

ICICI Lombard General Insurance Company Limited

IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 UIN : IRDAN115RP0005V01202021 ICICI Bharat Griha Raksha Policy
Mailing Address: Registered Office Address Toll free no : 1800 2666
601 & 602, 6th Floor, Interface 16 ICICI Lombard House,414, Veer Savarkar Alternate no : 86552 22666 (chargeable)
New Linking Road, Malad (West) Marg,Near Siddhi Vinayak Temple, E-mail : customersupport@icicilombard.com
Mumbai - 400 064 Prabhadevi, Mumbai 400 025 Website : www.icicilombard.com
 Signature Not Verified
Digitally signed by DS ICICI
LOMBARD GENERAL
INSURANCE COMPANY
LIMITED
Date: 2021.08.31 02:20:05
IST

ICICI Lombard General Insurance Company Limited

IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 UIN : IRDAN115RP0005V01202021 ICICI Bharat Griha Raksha Policy
Mailing Address: Registered Office Address Toll free no : 1800 2666
601 & 602, 6th Floor, Interface 16 ICICI Lombard House,414, Veer Savarkar Alternate no : 86552 22666 (chargeable)
New Linking Road, Malad (West) Marg,Near Siddhi Vinayak Temple, E-mail : customersupport@icicilombard.com
Mumbai - 400 064 Prabhadevi, Mumbai 400 025 Website : www.icicilombard.com