THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

POLICY SCHEDULE FOR HOUSE HOLDERS INSURANCE

UIN NUMBER - IRDAN190P0123V01100001

Insured's Name : NAZIR AHMAD KHAN

Insured's Details Issuing Office Details
Customer ID : PO19453660 Office Code : SRINAGAR - 351201 (351201)
Address : S/O GHULAM HASSAN KHAN Address : SRINAGAR CIRCLE
R/O SHAFIA BAGH NOWSHEHRA
,190002
SRINAGAR ,JAMMU KASHMIR, 190011
Phone No : XXXXXX7804 Phone No : NA
E-mail/Fax : a.b@gmail.com, / E-mail/Fax : nia.351201@newindia.co.in /
PAN No : S.Tax Regn. No : AAACN4165CST178
GSTIN/UIN : NA / NA GSTIN : 01AAACN4165C3Z3
: SAC : 997139 (Other non-life insurance services
excl RI)

Policy Details
Policy Number : 35120148230500000441 Business Source Code
Period of Insurance : From: 11/05/2023 12:00:01 AM To: Dev.Off : Mr. RAJINDER SINGH - (BA00000955)
10/05/2024 11:59:59 PM level./Broker/Corp.
Agent/IMF/POS/Web
Aggregator/CPSC User
Date of Proposal : 11-May-23 Agent/Bancassurance/S : Mr. HAAZIQ FAROOQ RANGREZ
pecified Person (NIAAG00059985) (SI00100384)
Prev. Policy no. : 35120148220500000295 Phone No : 9419427990, 7006953930 / 9419004113
Client Type : Non-Corporate E-mail/Fax : hazq.rgz@gmail.com,
hazq.rgz@gmail.com
singh.rajinder@newindia.co.in,
singh.rajinder@newindia.co.in / /

Premium(`) GST(`) Total (`) Total (` in words) Receipt No. & Date
2,542 458 3,000 RUPEES THREE 3512018123000000125
THOUSAND ONLY 9 - 10/05/23

Item wise-Section wise Summary

Section Decription of Cover Sum Insured Excess
1A Fire and allied perils-Building of Class A construction 5000000 NIL
only
1B Fire and allied perils-Contents Excluding Jewellery and 600000 NIL
valuables
2 Burglary and Housebreaking 600000 NIL
3A All Risks for Jewellery NOT OPTED NOT APPLICABLE
3B All Risks-Portable Equipment NOT OPTED NOT APPLICABLE
4 Plate Glass 10000 NIL
5 Breakdown of domestic appliances 42000 1% of Sum Insured in
respect of each
domestic appliance
seperately or the sum of
` 25/- whichever is
higher of each and
every loss or damage in
respect of which a claim
is admitted.
6 T.V.Set/DVD/CD set 25000 NIL
7 Pedal Cycles NOT OPTED NOT APPLICABLE
8 Baggage Insurance 10000 NIL
9 Personal Accident NOT OPTED NIL
09 Personal Accident NOT OPTED NIL

Signature Not
Verified
Policy No. : 35120148230500000441Document generated by AG_0099864 at 10/05/2023 13:20:24 Hours.
Digitally signed
by JAGATJAYEE Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
PANIGRAHI Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
Date: 2023.05.10
For redressal
13:20:27 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)

10A Public Liability 10000 NIL

10B Employees Compensation NOT OPTED NOT APPLICABLE
11 Personal computers NOT OPTED NOT APPLICABLE

Details under: Sec1A Fire and allied perils-Building of Class A construction only
Sl No: Item Description Sum Insured
1 Building `50 LAC ON BUILDING TWO 5000000
STOREYED AND ATTIC INCL ALL E/S
FITTINGS, KHATAMBAND CEILING &
ALL OTHER FIXTURES INCL
COMPOUND WALL & GATE.

Details under: Sec1B Fire and allied perils-Contents Excluding Jewellery and valuables
Sl No: Item Description Sum Insured
1 Household Goods UTENSILS ALL KIND, COPPER & 60000
CUTLARY
2 Household Goods FURNISHING DRUGGETS CURTAINS 50000
3 Household Goods SHAWLS ALL TYPE 50000
4 Household Goods FURNITURE ALL TYPE 80000
5 Household Goods CARPET ALL TYPE 80000
6 Household Goods REFRIGERATOR NATIONAL 15000
7 Household Goods WASHING MACHINE VIDEOCON 9000
8 Household Goods GENSET HONDA 12000
9 Household Goods TRANSFORMER 6000
10 Household Goods GYSERS 30000
11 Household Goods VACCUME CLEANER 5000
12 Household Goods DECORABLE ITEMS 15000
13 Household Goods INVERTOR WITH BATTERY 20000
14 Household Goods CLOTHING ALL TYPE 50000
15 Household Goods TRUNKS, BRIEF CASES 23000
16 Household Goods OTHER HH GOOS 10000
17 Household Goods ALL TYPES OF BEDDING ITEMS 85000

Details under: Sec2 Burglary and Housebreaking

Sl No: Item Description Sum Insured
1 Household Goods UTENSILS ALL KIND, COPPER & 60000
CUTLARY
2 Household Goods FURNISHING DRUGGETS CURTAINS 50000
3 Household Goods SHAWLS ALL TYPE 50000
4 Household Goods FURNITURE ALL TYPE 80000
5 Household Goods CARPET ALL TYPE 80000
6 Household Goods REFRIGERATOR NATIONAL 15000
7 Household Goods WASHING MACHINE VIDEOCON 9000
8 Household Goods GENSET HONDA 12000
9 Household Goods TRANSFORMER 6000
10 Household Goods GYSERS 30000
11 Household Goods VACCUME CLEANER 5000
12 Household Goods DECORABLE ITEMS 15000
13 Household Goods INVERTOR WITH BATTERY 20000
14 Household Goods CLOTHING ALL TYPE 50000
15 Household Goods TRUNKS, BRIEF CASES 23000
16 Household Goods OTHER HH GOOS 10000
17 Household Goods ALL TYPES OF BEDDING ITEMS 85000

Policy No. : 35120148230500000441Document generated by AG_0099864 at 10/05/2023 13:20:24 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal 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.

Page 2 of 4
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

Details under: Sec4 Plate Glass

Sl No: Item Description Sum Insured
1 Plate Glass FIXED PLATE GLASSES 10000

Details under: Sec5 Breakdown of domestic appliances

Sl No: Item Description Sum Insured
1 Refrigerator NATIONAL 15000
2 Washing Machine VIDEO CON 9000
3 Eletrical Item(any Other) GEN SET HONDA 12000
4 Eletrical Item(any Other) TRANSFORMER 6000

Details under: Sec6 T.V.Set/DVD/CD Set

Sl No: Item Description Sum Insured
1 TV Set SONY 21" 15000
2 TV Set WESTON TV 10000

Details under: Sec8 Baggage Insurance

Sl No: Item Description Sum Insured
1 Baggage PERSONAL BAGGAGE 10000

Details under: Sec10A Public Liability

Amount
10000

Addon Covers Sum Insured (`) Excess

Terrorism Section should be mentioned 5635000 NIL
Subject to SANCTION LIMITATION AND EXCLUSION CLAUSE

Deductibles Opted for Terrorism : 1% of the claim amount for each and every claim subject to Minimum of`10,000 and
Pool Maximum of`500,000

Policy No. : 35120148230500000441Document generated by AG_0099864 at 10/05/2023 13:20:24 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal 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.

Page 3 of 4
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

Special Conditions : NIL

The Policy shall be subject to HOUSE HOLDERS INSURANCE Policy clauses attached herewith.

Premium and GST Details

Rate of Tax Amount in INR
Premium ` 2,542
SGST 9 229
CGST 9 229
IGST 0 0

In witness whereof the undersigned being duly authorised by the Insurers and on behalf of the Insurers has (have) hereunder
set his (their) hand(s) on this 10th day of May,2023.

For and on behalf of

The New India Assurance Company Limited
Date of Issue: 10/05/2023

(MR. SUSHEEL TIKOO MALLA)

[SR BRANCH MANAGER]

Duly Constituted Attorney(s)

Mudrank_____________Dt.___________consolidated Stamp Fees Paid by Pay Order Number_______________vide receipt

number___________dt.__________.

We hereby declare that though our aggregate turnover in any preceding financial year from
2017-18 onwards is more than the aggregate turnover notified under sub-rule (4) of rule 48,
we are not required to prepare an invoice in terms of the provisions of the said sub-rule.

Tax Invoice No : 35120123E0001784

IRDA Registration Number: 190

NIA PAN NUMBER: AAACN4165C

Policy No. : 35120148230500000441Document generated by AG_0099864 at 10/05/2023 13:20:24 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Give your valuable feedback on https://www.newindia.co.in/portal/policyFeedbackGen.
For redressal 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.

Page 4 of 4