Pradhan Mantri Suraksha Bima Yojana

Certificate of Insurance (COI)

Pradhan Mantri THE ORIENTAL INSURANCE COMPANY LIMITED Master Policy 272200/48/2024/449

Suraksha Bima Yojana Number

Name of Member SUPRIYA MONDAL Unique Reference JNS-PMSBY-23-24-

Number (URN) 00052402873-738

Address C/O MANAS MONDAL, ,,,SOUTH 24 PARGANAS,WEST Mobile Number 9775344881

BENGAL, KOLKATA, SOUTH TWENTY FOUR PARGANAS,

WEST BENGAL, 743368

Aadhar Number - Date of Birth 01/01/1988

Bank / Post office a/c 0624010818698 Name of PUNJAB NATIONAL BANK

no. Bank/Post Office

Branch Address SARISHA,DT SOUTH 24PGS, 24 PARAGANAS SOUTH, Branch Code 062420

WEST BENGAL, 743368

Name of Nominee MANAS MONDAL Age of Nominee 44 YEARS

Date of 07/05/2024 10:17:28 Cover End Date 31/05/2024

Commencement of

Cover

Sum Assured Rs. 2,00,000* Premium Amount Rs. 20.0

Paid

Annual Renewal Date 1ST JUNE OF EVERY YEAR

* Rs. 2 Lakhs is payable on member's death due to accident.

Rs. 2 lakhs is payable on total and irrecoverable loss of both eyes or loss of use of both hands or Signature of authorised official

feet or loss of sight of one eye and loss of use of one hand or foot due to accident of bank / post office

Rs 1 Lakh is payable on total and irrecoverable loss of sight of one eye or loss of use of one hand 07/05/2024
or foot due to accident
10:17:30
The terms and conditions of the scheme are available at https://jansuraksha.in/