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 MUJITA BIBI Unique Reference JNS-PMSBY-23-24-

Number (URN) 00050535389-561

Address CHAKLOKNATH MAHESWARA RAMNAGAR SOUTH 24 Mobile Number 8670933467

PARG, ANAS,WEST BENGAL, KOLKATA, SOUTH 24

PARGANAS, WEST BENGAL, 743368

Aadhar Number - Date of Birth 09/10/1985

Bank / Post office a/c 0624010819824 Name of PUNJAB NATIONAL BANK

no. Bank/Post Office

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

BENGAL, 743368

Name of Nominee ASRAFUL MALLIK Age of Nominee 41 YEARS

Date of 23/04/2024 09:22:34 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 23/04/2024
or foot due to accident
09:22:36
The terms and conditions of the scheme are available at https://jansuraksha.in/