Arvind Saxena [ A00002 ]

Transcription

1 Date Arvind Saxena [ A2 ] D-8, Omkar Tower, Shanti Nagar Colony, Near Old Ware House, Dadar-(W) Mumbai Pin414 Tel Fax Agent Name Other - ICICI Insurer Name ICICI Policy No. 632/21/9/23/325 Medi-Claim Arvind Saxena 26/6/29 to 25/6/21 7 Load Discount Gr. Prem 7 Serv. Tax 721 Net Prem 7721 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 1 Policy No. 632/23/9/25/942 Fire Policy Preeti Saxena 2/7/29 to 19/7/21 < > Description of Risk Building & Foundation Furniture & Fixtures Plant & Machinery Stocks Others Paper and Cardboard Mills (including Lamination) Load Discount Gr. Prem 3499 Serv. Tax 36 Net Prem 3859 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 2

2 Pg. 2 wise Summary of Insurance Fire Policy Medi-Claim

3 Pg. 3 Date Himanshu Kelkar [ H1 ] G-25, Surya Apartment, Infront Of Railway Guest House, Madhrai Vihar, M.G. Road Chennai Pin688 Tel Fax Agent Name Other - Bajaj Insurer Name Bajaj Policy No. 272/16/9/27/236 Fire Policy Himanshu Kelkar 26/6/29 to 25/6/21 < > Description of Risk Building & Foundation Furniture & Fixtures Plant & Machinery Stocks Others Hotels Load Discount Gr. Prem 1843 Serv. Tax 19 Net Prem 233 Agent Name Other - Star Health Insurer Name Star Health Policy No. 3441/18/9/17/897 Medi Classic Policy Neelakshi Kelkar 11/6/29 to 1/6/21 Members Insured under this Policy Name Relation Age N.C.B. Rate N.C.B. Amt Himanshu Kelkar Spouse Neelakshi Kelkar Self Load Discount Gr. Prem 27 Serv. Tax 278 Net Prem 2978

4 Pg. 4 wise Summary of Insurance Fire Policy Medi Classic Policy

5 Pg. 5 Date Kishore Chand Agarwal [ K1 ] E-5, Railway Colony, Infront Of H.S.School, Military Road Kolkata Pin72 Tel Agent Name Other - United India Insurer Name United Policy No. 411/24/9/23/5781 Motor Kishore Chand Agarwal 23/6/29 to 22/6/21 Vehicle Name Fiat Palio 1.2 No Cl. Bonus Policy Type Value of Extra fittings 1425 Package Policy Reg. No. MH 42 DA 1352 Insured Declared Value Load Discount Gr. Prem 1261 Serv. Tax 157 Net Prem Remarks Agent Name Rahul Vaidya Insurer Name Star Health Policy No. 3441/19/9/18/125 Senior Citizen Red Carpet Policy Kamla Agarwal 11/6/29 to 1/6/21 Members Insured under this Policy Name Age Kishore Chand Agarwal Kamla Agarwal Load Discount Gr. Prem 8899 Serv. Tax 917 Net Prem 9816 wise Summary of Insurance Motor Senior Citizen Red Carpet Policy

6 Pg. 6 Date Neeraj D Shukla [ N1 ] A-121, Galaxy Apartment, Lokhandwala Complex, New Link Road, Andheri-w Mumbai Pin458 Tel Fax Agent Name Apollo_Dkv Insurance Insurer Name Apollo Policy No. 2634/18/9/2/1568 Easy Health Insurance Aarti Shukla 11/6/29 to 1/6/21 Members Insured under this Policy Name Relation Age Policy Type Policy Sub Type Sum Critical Sum Critical Neeraj D Shukla Spouse 48 Individual Exclusive Aarti Shukla Self 47 Individual Exclusive Nikhil Shukla Son 14 Individual Exclusive Nitisha Shukla Daughter 1 Individual Exclusive Load Discount Gr. Prem 189 Serv. Tax 2196 Net Prem 2196 C.B. Rate C.B. Amt. Agent Name Other - New India Insurer Name New India Policy No. 295/42/9/15/6321 Motor Neeraj D Shukla 19/6/29 to 18/6/21 Vehicle Name Maruti 8 No Cl. Bonus Policy Type Value of Extra fittings 485 Package Policy Reg. No. MH 2 DA 1563 Insured Declared Value Load Discount Gr. Prem 5689 Serv. Tax 586 Net Prem 6275 Endorsements Endorsement Number Date Changes Description of Alterations 15 31/7/29 25 Remarks

7 Pg. 7 Agent Name Other - Oriental Insurance Insurer Name Oriental Policy No. 3745/44/9/36/258 Householder Aarti Shukla 26/6/29 to 25/6/21 Risk Covered For Sum Fire-Building Fire-Contents Jewellery & House Holding Plate Glass Personal Computer & Lap Top Prem 114 Load Disc Terr Gr. Prem 114 Serv. Tax 114 Net Prem 1218 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 7 wise Summary of Insurance Easy Health Insurance Householder Motor

8 Pg. 8 Date Nikhil Ahuja [ N2 ] F-3, Green Town Society, Infront Of CCD, M.G.Road, Bandra-W Mumbai Pin45 Tel Fax Agent Name Other - Bajaj Insurer Name Bajaj Policy No. 272/25/9/52/32 Mediclaim Prakash Chand Ahuja 26/6/29 to 25/6/ Load Discount Gr. Prem 116 Serv. Tax 1195 Net Prem Agent Name Other - Oriental Insurance Insurer Name Oriental Policy No. 3745/43/9/31/5231 Medi-claim Nikhil Ahuja 22/6/29 to 21/6/21 Members Insured under this Policy Name Relation Age Sum Bonus Cover Nikhil Ahuja Self 38 Niharika Ahuja Wife 34 Prakash Chand Ahuja Father 64 Nirmita Ahuja Mother Load Discount 686 Gr. Prem 6176 Serv. Tax 636 Net Prem 6812 Agent Name Other - United India Insurer Name United

9 Pg. 9 Policy No. 411/16/9/21/137 Householder Niharika Ahuja 26/6/29 to 25/6/21 Risk Covered For Sum Fire-Building Fire-Contents T.V Set, VCRs, etc. Computers Prem 28 Load Disc Terr Gr. Prem 28 Serv. Tax 288 Net Prem 388 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 1 wise Summary of Insurance Householder Mediclaim Medi-claim

10 Pg. 1 Date Nimit Chand Jain [ N3 ] HIG-12, Mahalaxmi Society, Indraprastha Nagar, Behind Of Power House, Delhi Pin116 Tel Fax Agent Name Nimesh Singh Insurer Name Oriental Policy No. 3745/42/9/19/521 Motor Anushka Jain 26/6/29 to 25/6/21 Vehicle Name Honda City No Cl. Bonus Policy Type Value of Extra fittings 475 Package Policy Reg. No. DL 2 KJ 5942 Insured Declared Value Load Discount Gr. Prem 2137 Serv. Tax 221 Net Prem Remarks Agent Name Other - Oriental Insurance Insurer Name Oriental Policy No. 3745/26/9/15/3569 Fire Policy Nimit Chand Jain 26/6/29 to 25/6/21 < > Description of Risk Building & Foundation Furniture & Fixtures Plant & Machinery Stocks Others Cafes Load Discount Gr. Prem 19 Serv. Tax 14 Net Prem 1113 Agent Name Other - United India Insurer Name United

11 Pg. 11 Policy No. 411/12/9/19/2154 Medi-claim Ved Prakash Jain 22/7/29 to 21/7/21 Members Insured under this Policy Name Relation Age Sum Bonus Cover Ved Prakash Jain Self 58 Nimit Chand Jain Son Anushka Jain Daughter in law Load Discount 36 Gr. Prem 3488 Serv. Tax 359 Net Prem 3847 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 5 wise Summary of Insurance Fire Policy Medi-claim Motor

12 Pg. 12 Date Nimit D Shah [ N4 ] D-34, Raj Apartment, Saket Nagar, Jinsi Road, Infront Of Press Complex, Bhopal Pin46226 Tel Fax Agent Name Apollo_Dkv Insurance Insurer Name Apollo Policy No. 2634/18/9/3/256 Easy Health Insurance Divya Shah 11/6/29 to 1/6/21 Name Relation Age Policy Type Policy Sub Type Nimit D Shah Spouse 29 Family Divya Shah Self 26 Family 865 Load Discount Gr. Prem 865 Serv. Tax 939 Net Prem 9589 Agent Name Prakash D Mahant Insurer Name Reliance Policy No. 4715/12/9/16/874 Mediclaim Nimit D Shah 26/6/29 to 25/6/21 35 Load Discount Gr. Prem 35 Serv. Tax 314 Net Prem 3364 wise Summary of Insurance Easy Health Insurance Mediclaim

13 Pg. 13 Date Nirmiti Salukane [ N5 ] A-11, Nath Villa, M.P.Nagar, Gulmohar Cross Road, Juhu Mumbai Pin449 Tel Agent Name Other - Star Health Insurer Name Star Health Policy No. 3441/17/9/16/2323 Family Health Optima Prashant Salukane 22/7/29 to 21/7/21 Members Insured under this Policy Name Relation Age N.C.B. Rate N.C.B. Amt Nirmiti Salukane Spouse 33 Prashant Salukane Self Load Discount Gr. Prem 1765 Serv. Tax 182 Net Prem 1947 Agent Name Prakash D Mahant Insurer Name Reliance Policy No. 4715/13/9/17/542 Motor Nirmiti Salukane 22/7/29 to 21/7/21 Vehicle Name Tata Indica Car No Cl. Bonus Policy Type Value of Extra fittings 2375 Package Policy Reg. No. MH 3 DF 238 Insured Declared Value Load Discount Gr. Prem Serv. Tax 1253 Net Prem Remarks

14 Pg. 14 wise Summary of Insurance Family Health Optima Motor

15 Pg. 15 Date Om Prakash Jha [ O1 ] A-33, Shahpura, Gokul Das Marg, Infront Of Geenwich Park, Ahemdabad Ahemdabad Pin3822 Tel Agent Name Other - Reliance Insurer Name Reliance Policy No. 4715/15/9/2/359 Fire Policy Om Prakash Jha 26/6/29 to 25/6/21 < > Description of Risk Building & Foundation Furniture & Fixtures Plant & Machinery Stocks Others Automobile Manufacturing Load Discount Gr. Prem 1245 Serv. Tax 128 Net Prem 1373 Agent Name Other - Star Health Insurer Name Star Health Policy No. 3441/18/9/17/5821 Medi Classic Policy Kritika Jha 28/7/29 to 27/7/21 Members Insured under this Policy Name Relation Age N.C.B. Rate N.C.B. Amt Om Prakash Jha Spouse Kritika Jha Self Load Discount Gr. Prem 14 Serv. Tax 144 Net Prem 1544

16 Pg. 16 wise Summary of Insurance Fire Policy Medi Classic Policy

17 Pg. 17 Date Ritesh Kumar Singh [ R1 ] A-21, Green Avenue, Jogeshwari-Vikroli Link Road, Infront Of BEST Complex, Andheri-E Mumbai Pin493 Tel Agent Name Other - United India Insurer Name United Policy No. 411/42/9/15/4136 Family Medicare Policy Ritesh Kumar Singh 11/6/29 to 1/6/21 Members Insured under this Policy Name Relation Age Ritesh Kumar Singh Self 25 Ritika Singh Spouse Load Discount Gr. Prem 1638 Serv. Tax 169 Net Prem 187 wise Summary of Insurance Family Medicare Policy

18 Pg. 18 Date Surabhi Thakur [ S1 ] Plot No. 25, Keshav Sadan, Near Shiv Temple, Thane-W Near National Higway No.-86, Mumbai Agent Name Other - United India Insurer Name United Policy No. 411/13/9/18/2594 Fire Policy Jyotsana Thakur 21/7/29 to 2/7/21 < > Description of Risk Building & Foundation Furniture & Fixtures Plant & Machinery Stocks Others Engineering Workshop - - Structural Steel fabricators, Sheet Metal fabricators, Hot/Cold Rolling, Pipe Extruding, Stamping, Pressing, Forging Mills, Metal smelting, Foundries, Galvanising works, Metal Extraction (other than Aluminium, Copper, Zinc) Load Discount Gr. Prem 3825 Serv. Tax 394 Net Prem 4219 Endorsements Endorsement Number Date Changes Description of Alterations /7/29 1 Agent Name Rahul Vaidya Insurer Name Star Health

19 Pg. 19 Policy No. 3441/2/9/19/325 Super Surplus Insurance Policy Surabhi Thakur 21/7/29 to 2/7/21 Members Insured under this Policy Name Age Surabhi Thakur Jyotsana Thakur Load Discount Gr. Prem 6 Serv. Tax 618 Net Prem 6618 wise Summary of Insurance Fire Policy Super Surplus Insurance Policy

20 Pg. 2 Date Vipul Kantilal Vora [ V1 ] A-21, Laxmi Tower, Behind Of Shiv Temple, Sakshi Vihar Colony, Goregaon-E Mumbai Pin463 Tel Agent Name Other - Bajaj Insurer Name Bajaj Policy No. 272/26/9/21/42 Motor Vipul Kantilal Vora 26/6/29 to 25/6/21 Vehicle Name Honda City No Cl. Bonus Policy Type Value of Extra fittings 19 Package Policy Reg. No. MH 2 AD 1587 Insured Declared Value Load Discount Gr. Prem Serv. Tax 221 Net Prem Remarks Agent Name Udit Jain Insurer Name New India Policy No. 295/43/9/27/1632 Family Floater Mediclaim Policy Pooja Vora 11/6/29 to 1/6/21 Members Insured under this Policy Name Dbts HT HCM Relation Age Zone Vipul Kantilal Vora Yes No No Spouse 43 I Pooja Vora Yes No No Self Load 2566 Discount Gr. Prem 6231 Serv. Tax 642 Net Prem 6873

21 Pg. 21 wise Summary of Insurance Family Floater Mediclaim Policy Motor