n$nq-.-d Evutt'u otrfr ftrfu8s The Oriental lnsurance Co.

Limited
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5Ycq Regd. Otfice & Head Office:
25,, 27 lil?='--H!-=,SE n-istzl ,Asaf Ali Road, New Delhi - 110 002
!- fi#rlri3t#3^^ SCHEDULE
Policy No. :153403148120171847 Prev. Policy No,
Cover Note No. :- Cover Note Date
insured's Code . 76735451 lssue Oifice Code 153403
Insured's Name : GAIL {lNDIA}LTD. A/C MR. J lssue Office Name BO GUNA
AMIRTHARAJ
ACdress : B-137. GAiL COMPLEX VIJAYPUR Address Nai Mandi
DISTT- GUNA Agra Bombay Red
GUNA(MP) '{
: ,l
cuNA MADHyA pRADESH +rsoor lY.s
tt', ',al7
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MADHYA PRADESH i-'-. -.".-. .- ^rr'
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Tel./Fax/Email : / /NlA Tei.i Fax/Ernail 07542 254175 il256438 I 07542-254175 I
153403@o.rental -surarce c:.i"
AgenUBroker Details
Dev.Off,Code ; NA0000008893 AO (D)
AgenUBroker : BA00001020'1 5 Sunita Shrivastava
Address :B-l32.GAlL.GAlLComplex.Guna,GUNA,MADHYAPRADESH,4T3OOl
Tel/FaxlEm a i I | 9 4251 U549 I 94251 34il9 I I m ks h riwastava@gmai l.con
Period of lnsurance : FROM 11:30 ON 2811212016 TO MIDNIGHT OF 271122C2)
Collection No & Dt. . CHQ 3140003415 - 2811212016
Gross Premium .. 852 Service Tax : 127 S:a-: Duty t Total: 979
clT,.T" DI11NIL
Sec. Section I Description of Property covered Sum lnsured Premium
No. l
Rs. Rs.

FIRE and premises / premises bearing the address: GAIL

at I ttrn
==:_-: S'\cD=s:'::- ' ai';e

1 I]SONY BARVTA 48, FULL HD LED TV 77,000.00

7-,000.0r
2 SgC tt Contents as in Section 18
-464no
77,000.00 308.00
BURGLARY
and HOUSE
BREAKING

8 SEC VIII Description Value

BAGGAGE
Baggage Cover Sec 2,000.00 2,000.00 40.00

1O LtABtLtTy SECTION x(A) PUBLTC

LIABILITY
Public Liability Cover 25,000.00 40.00
Place: GUNA
[[I[
*r< nd on behalf of
Date r 2711212115
I ]illfl rllr]l|l!fl |n tUfl
ffiru
il ililil !||il til! !il lil Company Limited

ln case of any query regarding the Policy please call Toll

Free No. 1800 1 I 8485 and 01 1 33208485.

CIN: U6601ODL',l947GO1007158 All the Amounts mentioned in this policy are in lndian Rupee Page 1 of8
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

trsr{2, www. orientalinsurance.org. !n td Visit us at: www. orientalinsurance org'in

q{rqri q{fuS qrffi olqf-ds oi oi AJdress all communication to Policy lssuing Office'
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The Oriental Insurance Co. Limited
w Regd. Office & Head Office:
to *i/6?mffia f,* $f,"f,*,m. i u!11323, r0) A-25l27,Asaf Ali Road, New Delhi - 110 002

,. ,r"rd.
ltrl ljllT _ : tndian Rupees Nine Hundred Seu..t,.l,.* Onf V

The lnsurance under this policy is extended to

cover risks of:

The lnsurance under this policy is subject to Warranties

& Clauses :
ln the event of a craim under the poricy exceeding ,cr refs-
pJ;;';ih" co.p"ny r-u-
Rs. 1 lac or a cre
Wli:"#J#i*;TJ:i:;::" "rin"
XH'rl ,., l,!.',;::J.':'ff:;:#:,i l?;'[:i:X'o
^;,,.
Excess : Deductibles Undersection (Vlll) Baggage 1000

Bank Names are as per the list attached: Not Applicable

of prenrfum ctreque(s) the company shall not be tiabb

HHffi',ffiffi"t'r under the pot,cy and tre potirry strat

ueins afiorbed
f-ffiaffiSffi;?ffi8l bv and on behalf of the coneanv rras herein ro
ser his hands ar GUl,tA rhe

For and on behalfof

The Oriental lnsurance Company Limited
By :
Entered Dwaraka p Tiwari
ExaminedBy : GKGEHLOT

Place: GUNA
For and on behalf of
Date: 2711212016 #ffifi 1tillilffi ruurrrun[uililll[ud{il!iltxil!fl!ililil
The Orientai lnsurance Company Limited

of any query regarding the policy ptease calt Toll

l! "u:g
l-ree No. 1800 11 8485 and 011 332084'85.

clN: U66010DL1g4rcoroor15g A[ the Amounts mentioned

in this poricy are in rndian R Page 2 of 8
IRDA Regn. No. 556 - Now you can buy and renew
selected policies online at

Mz, www. orientalinsurance.org.in td Visit us at: www. orientalinsurance.org.in

oqqr .rmfr r*rqn dftr$ qrffi6rqf-dq o) of t
Address all communication to Policy lssuing Office.