{A0F307B0-2882-42CA-BC5E-898AE6C2BB53}

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

HDFC ERGO General Insurance Company Limited

POLICY SCHEDULE
Sarv Suraksha PRO

>S5#>Hy!!
Policy Number : 2950200229398800000

Issued on : 27/03/2012

Location : Mumbai

DETAILS OF THE POLICY HOLDER

Name

MR MOHIT PRAGNESHKUMAR PANDYA

Address

HOUSE NO 1312 NEELKANTH

Policy Period

36

Policy Start Date

26/03/2012

Policy Expiry Date

25/03/2015

Months

FARM HOUSE DOK MANDI IND ESTATE OPP RECOLIN COMPANY


AMBOLI
DADRA & NAGAR HAVELI DADRA AND NAGAR HAVELI 396230
Mobile No

Email ID

1800 2700 700 (Toll-free)

Tel ( Res/Off) :

9998298837

care@hdfcergo.com

MOHITPANDYA25@YAHOO.CO.IN

PREMIUM DETAILS

Total Premium

(Inclusive of service tax and education cess)

Cheque No :

Cheque Date :

Rs. 650

Bank :

Cheque Amount :

INSURED PERSONS

Name of the Insured Person

Description

MOHIT PRAGNESHKUMAR

Self

PANDYA

Date of Birth

25/11/1986

Age
(Yrs)
26

Name of the Beneficiary

Relationship with Insured

PRAGNESH

Father

(%)

Benefit

100

COVERAGE DETAILS

Benefit

Sr. No

Sum Insured ( Rs )

Critical Illness

NA

Accidental Death

4,00,000

Permanent Total Disability/ Permanent Partial Disability

4,00,000

Dependent Child Education

NA

Accidental Hospitalisation

NA

Loss of Job

NA

Credit Shield Insurance

Outstanding Loan Amount

Householders Coverage

NA

Garage Cash

NA

OTHER DETAILS

1.) This policy covers insured events arising during the policy period within India.
2.) Under credit shield the claim towards the outstanding loan amount will be paid to the bank.

3.) The claim under credit shield will be paid on death of the first named borrower in case of joint loan.

Only those benefits which are illustrated above shall be payable.The customer is not eligible for any other benefit not mentioned above.
Subject otherwise to the terms,exclusions and conditions of this policy.
Consolidated stamp duty for this Insurance Policy is paid by Demand Draft,vide Receipt/Challan no. 91232, Date:- 11/01/2012 as prescribed in
Government Notification Revenue and Forest Department No Mudrank 2004/4125/CR690/M-1,Dated 31/12/2004.

Signed for and on behalf of the HDFC ERGO General Insurance Company Limited,at Mumbai on 15/06/2012

Agent Code : 200718382770


Authorised Signatory

Agent Name : HDFC BANK SARV SURAKSHA PRO

6th Floor,Leela Business Park,Andheri-Kurla Road,Andheri (East),Mumbai 400059.Toll-Free No.1800 2 700 700 Fax: 91 22 6638 3699 care@hdfcergo.com www.hdfcergo.com
Registered Office: Ramon House,H.T.Parekh Marg,169,Backbay Reclamation,Mumbai 400 020.

You might also like