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wee gee om gon at THE NEW INDIA ASSURANCE CO. LTD. Ser ea ae er ee ee cor (Wiha owned by the Govt of india) Fails ween ee fe eesti Swe wera POLICY SCHEDULE FOR HULL MACHINERY INSURANCE. insured Name [1s SAN NAGHINERES PVT Fs Detals fie Dtale (catoner POSSTS6760| [ice Code HanE 0.0. 7010017000) ‘adiese = RawanDana GARDEN POW, Aérens baa MASTWABE, THANE (400807 |MUMBAI_MAHARASHTRA, 400076. i Phone No Phone Ne aeeseens (25408770 lEcalltax : ananoriaton lEcallfax Ine. 1Totcogewndi in PANN. [Tax Regn No A [gstNun AAECZANTVINA lest + [STARADNSTGECP 199719 Ober ron tna ah Pol [Boley Number 7100221 000004 Source Code Period of naurance | [Fem 04018 720007 AN To: 1 MULKARNT 10500595) Sea eas ‘ate of Propel [AgerfBencessurance [|v LLOYD. REGO (MAAGnOOESS17 tivo Recoiseaouzey | Powe. Poi no. ot To oo0o0% Phone Ne sn20100758 Wa [cient Type | Corporate 5 le-nsilfat Toya yahoo com [Premium [7 "esre’ | Totalfinrin Figures) _| Totel(iNf. in Words) _} Receipt No. & Date —| 35968 235772 Two tat, 1701006 179 Trousano| °"“reabrosns rr inane sno Ouly iWa308 ase Premier sre “Tota | Payable On or Before | 49175 9810) i683 4ua018 2instaiment [1 1 245078 9852 ——sa027 14972018 ‘3 Installment 49175 3852, 58027 1gy19/2018 Instaliment 2173 2532 | ___ 0025 401201 sno ‘Name of Vessel IMO No. ‘Sub Type of ‘Vessel | Year of ‘Port of an and on secu | ak Sherty” 1D. 8. GARISDAS NAL | Dumb Barges ‘Dumb Barges 2008, MMB. |_Vesse! Sum insured® Annual Premium’ — | _- Deductible _/ HEM Tin Freght | Toa ait (iia Vessel si07s168 10 io [s107eiee” [To6e56 300000. [Special Conditions [HULL & MACHINERY. INSURANCE CLAUSE AS ATTACHED. |Special Warranties |NA.NA.NA.NA [adtiona Perl Decuctbie |: [na Cover eta Cover Name ‘um inured Premium SRCC Cover 31075188 27978 "TRADING LMITS/TRADING WARRANTIES WestCoast, => [SREC Cover T31079188 [27978 les a\ e300 ‘Pai a. Y0ez¥otonbsniOacamant erry 72 at DADE 2844 How La BEE, naan tev oer uy, Rud Fo tame TOL PRE HOH ‘s ser ERE TS sean pay sp eens oy an oir oe’ nt ican ye tn eee create none ume onto Fr ea ements ee ne “recommen Page 10t2 CIN No. : U.99999 MH 1919 GO! 000526, ‘Thane Divisional Office - 170100 : 8-201, Pinak Galaxy, Opp. Big Bazar, Kapurbawdi Junction, Majiwada, Thane (W) - 400 607. oom To 2595408, 25406407 et / Fax: 25423121 « Sari Taxa: AMACMIBECSTI7B ROA Regan Ho: 12 @ aaah ase ere ~ 170100 :@t - 201, Peas Sera or acme 2b ara, geared ciaert, aces, a (9) - 400 607 CIN No, : U 99999 MH 1919 GO! 000526 Page 2012 Sree, atts, ae (9.) - i il cot 708-2] Pano au ines Fan as ae {a vier mre - 170100 : & - 201, Rea dieraet, fear aor & BER, 400 607. ‘FEMA / Tal: 25496408, 25496407 Faas / Fax: 25423121 « Service Tax No: AAACNAIBSCSTI78 «RDA Regsation No. 190 CIN No. : U 99999 MH 1919 GO! 000526, THE NEW INDIA ASSURANCE CO. LTD. (Wolly owned by the Govt of india) ADJUSTMENT VOUCHER testy omer wae 00-7010 (170100 mee amy rn canny Sieben eh NETO Prone ots mat ria 700@ewne con roe asia Cotecton amber ‘ove eoxos0761 otucion Date touaore Basie Sours Cade teoese85 Pan oct Paver acd hans fom WS SAAMI WACHINERNES PVTLTO. “hearse acs soars PleyNa (AS Dscigioa [Anew WE Cade SB AR Code ‘yoteoz2e030009000i | sert70160 —|Seoea00 | "S091 tote o100223eo100000001 | —sers70100"—| 2750.00 3081370300, ‘Total = €61653.00 ‘our Paymenagustne: Dota a ‘Mode | Amount® | Cheque [cheque Oe gave [eneaue Drones Bonk Droneebrnch] Reece [ean [scan [5850300 [0001s [Zama ~ [saw or SaRODA Powal nsiooomiss_ low] eee S SANE LTD Trane ———Tenoooz sions} lose ‘Total = 761693.00 ulzation stall of ne Colca [rerum a Date otssve: 180472018 4. Piease rate he Policy Number, Colton Nufioe Bats nah ture corespondehie ut of ese mage sted by ure ‘2A sha ret be lable fo any li frtbimert fe premium paisa bees fear ‘cosners nea se pared ete tne de date nd ate of payment ofthe ftvere is wauiicent premium balance.” Policy No: 17010022180100000001Document generated by 17821 at 1804/2018 18:28:44 Hours. Regd. & Head Office: New India Assurance Bldg, 87 M.G. Road, For, Mumbel- 400 001. TOLL FREE No. 1800209 141. ‘ah vise rare - 170100: @ 201, Ray See, Ro aor ea, agra Page tot ‘Baer, ATTET, eet (4) - 400 607, Thane jaca, Thane (W) -400 607 ‘Disional Ofice- 170100: B-201, Pinak Galany, Opp. Big Bazar, Kapurbawdl Junction, Majwada, Thane (W) {AM /Te, 25496408, 25406407 Ga / Fax: 25425121 «Sere Tax No: AACNSTSSCSTITS «RDA Rgistaton No: 180,