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    PresentationSlide - TATA AIG INSURANCE FORM1

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    Pradyumn Singh
    Rahul Bede, a 27-year-old male service professional from Changlang, Arunachal Pradesh, is proposing a standard fire and special perils insurance policy for his residential premises located at FL.NO A/202, Jayashree Boulevard, S. No- 284 Lohegaon, Pune, Maharashtra. The proposal details the insured's contact and property information, and specifies a one-year insurance period from September 6, 2016 to September 5, 2017 with a premium of Rs. 10,089 to be paid by cheque to RAC Pune branch under producer code 0015455021.

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    PresentationSlide - TATA AIG INSURANCE FORM1

    Uploaded by

    Pradyumn Singh
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    Rahul Bede, a 27-year-old male service professional from Changlang, Arunachal Pradesh, is proposing a standard fire and special perils insurance policy for his residential premises located at FL.NO A/202, Jayashree Boulevard, S. No- 284 Lohegaon, Pune, Maharashtra. The proposal details the insured's contact and property information, and specifies a one-year insurance period from September 6, 2016 to September 5, 2017 with a premium of Rs. 10,089 to be paid by cheque to RAC Pune branch under producer code 0015455021.

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    Rahul Bede, a 27-year-old male service professional from Changlang, Arunachal Pradesh, is proposing a standard fire and special perils insurance policy for his residential premises located at FL.NO A/202, Jayashree Boulevard, S. No- 284 Lohegaon, Pune, Maharashtra. The proposal details the insured's contact and property information, and specifies a one-year insurance period from September 6, 2016 to September 5, 2017 with a premium of Rs. 10,089 to be paid by cheque to RAC Pune branch under producer code 0015455021.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    10 views1 page

    PresentationSlide - TATA AIG INSURANCE FORM1

    Uploaded by

    Pradyumn Singh
    Rahul Bede, a 27-year-old male service professional from Changlang, Arunachal Pradesh, is proposing a standard fire and special perils insurance policy for his residential premises located at FL.NO A/202, Jayashree Boulevard, S. No- 284 Lohegaon, Pune, Maharashtra. The proposal details the insured's contact and property information, and specifies a one-year insurance period from September 6, 2016 to September 5, 2017 with a premium of Rs. 10,089 to be paid by cheque to RAC Pune branch under producer code 0015455021.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 1

    PROPOSAL FORM(STANDARD FIRE AND SPECIAL

    PERILS
    POLICY RESIDENTIAL
    PREMISES
    ONLY)
    PROPOSERS
    DETAILS
    FOR PRODUCERS USE ONLY
    Name of the Proposer: RAHUL
    BEDE
    Occupation : SERVICE
    City: CHANGLANG
    State: ARUNACHAL PRADESH
    DOB : 27/05/1991
    SEX :
    Male
    Female
    Mobile No: 9975578369
    E-mail :
    rahulbede2r@gmail.com

    Branch: RAC PUNE


    Producer Code: 0015455021
    Premium: Rs 10089
    Cash/ Cheque: RAMG
    Bank : AXIS BANK LTD

    DETAILS OF PROPERTY TO BE COVERED

    Address of the property : FL.NO A/202, JAYASHREE


    BOULEVARD, S. No- 284 LOHEGAON , PUNE
    City : PUNE
    District: PUNE
    State: MAHA
    Pin Code: 411047
    Age of Building:

    Less than 5 years


    5-10 years
    20 years
    Above 20 Years
    Period of Insurance: From 00 : 01 Hrs On : 06/09/2016
    Night of : 05/09/2036
    Payment made by Cash/Cheque No: RAMG

    10To Mid

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