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    Pa Individual Policy Schedule: Page 1 of 2

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    Dipan Mehta
    This document is a digitally signed policy schedule from The Oriental Insurance Company Limited issued to Dipankumar B Mehta. [1] It provides details of the policy holder such as name, address, policy number and period of insurance.[2] It also lists the insured persons, sections covered, sum insured and additional covers purchased.[3] The total sum insured is INR 45.03 lakhs and total premium payable is INR 3,584.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pa Individual Policy Schedule: Page 1 of 2

    Uploaded by

    Dipan Mehta
    21 views2 pages
    This document is a digitally signed policy schedule from The Oriental Insurance Company Limited issued to Dipankumar B Mehta. [1] It provides details of the policy holder such as name, address, policy number and period of insurance.[2] It also lists the insured persons, sections covered, sum insured and additional covers purchased.[3] The total sum insured is INR 45.03 lakhs and total premium payable is INR 3,584.

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    131201_48_2023_249

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    This document is a digitally signed policy schedule from The Oriental Insurance Company Limited issued to Dipankumar B Mehta. [1] It provides details of the policy holder such as name, address, policy number and period of insurance.[2] It also lists the insured persons, sections covered, sum insured and additional covers purchased.[3] The total sum insured is INR 45.03 lakhs and total premium payable is INR 3,584.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views2 pages

    Pa Individual Policy Schedule: Page 1 of 2

    Uploaded by

    Dipan Mehta
    This document is a digitally signed policy schedule from The Oriental Insurance Company Limited issued to Dipankumar B Mehta. [1] It provides details of the policy holder such as name, address, policy number and period of insurance.[2] It also lists the insured persons, sections covered, sum insured and additional covers purchased.[3] The total sum insured is INR 45.03 lakhs and total premium payable is INR 3,584.

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    © All Rights Reserved
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    You are on page 1of 2

    This Document is Digitally Signed

    Signer: RASHMI RAMAN SINGH


    Date: Mon, Jan 16, 2023 15:26:32 IST
    Location: NOIDA
    Reason: Signing Policy for OICL
    PA INDIVIDUAL POLICY SCHEDULE
    Policy No. : 131201/48/2023/249 Prev. Policy No. : 131201/48/2022/362
    Cover Note No. : - Cover Note Date : -
    Insured's Code : 34169505 Issue Office Code : 131201
    Insured's Name : DIPANKUMAR B MEHTA (GSTIN: 0) Issue Office Name : BO VASAI (GSTIN:
    27AAACT0627R4ZW)
    Address : F-801 DHEERAJ DARSHAN APPT., Address : 1ST FLR. LAWRENCE TRADE
    KONKAN NAGAR, CENTRE
    JOGESHWARI (E), MUMBAI NAVGHAR ROAD
    VASAI
    MUMBAI MAHARASHTRA 400041 MUMBAI MAHARASHTRA 401202

    Tel. /Fax /Email : / / 9820691951 / Tel. /Fax /Email : (0912) 2339512/9892290208 / /


    dipanmehta@gmail.com rameshwar.hedaoo@orientalinsurance.c
    o.in;131201@orientalinsurance.co.in
    Agent/Broker Details
    Dev.Off.Code : NA0000000867 MR. S.V. MHATRE

    Agent/Broker : BA0000114348 LOKESH SINGH


    Address : B-204, REGAL COMPLEX, SECTOR-6, VASANT NAGARI, VASAI -EAST,
    THANE,THANE,MAHARASHTRA,401208
    Tel/Fax/Email : 9821044637/0250-6451098//NA

    Period of Insurance : FROM 00:00 ON 03/06/2022 TO MIDNIGHT OF 02/06/2023


    Collection No. & Dt. : CC 9249000869 - 20/05/2022 GST INVOICE NO :272197316 UIN :0
    Gross Premium : 3,038 GST : 546 Stamp Duty : 225 Total : 3,584
    Co-insurance Details : NIL

    Details of Insured Persons :

    Sr. Name Relationship Age Sex Section Sum Insured Additional Covers
    No. with Insured

    1 DIPANKUMAR Self 45 M Table of benefits II 1500000


    B MEHTA Table of benefits III 500000
    Table of benefits I 2500000
    Medical Expenses
    4500000 LoadingNIL
    Cumulative Bonus 2250300

    Additional Details of Insured Persons :

    Sr. Name Occupation Pre-existing Risk Group Assignee Name Share Assignee
    No. Disabilities % Relationship

    1 DIPANKUMAR B SERVICE NORMAL RISK DHARNA DIPAN 100 Spouse


    MEHTA MEHTA

    Total Sum Insured in words : Indian Rupees Forty-Five Lakhs Three Thousand Only
    Total Premium in words : Indian Rupees Three Thousand Five Hundred Eighty-Four Only

    Place : MUMBAI For and on behalf of


    Date : 20/05/2022 The Oriental Insurance Company Limited

    This is an electronically generated document (Policy Schedule).The


    Policy document duly stamped will be sent by post.

    In case of any query regarding the Policy please call Toll


    Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

    CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 1 of 2

    IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
    This Document is Digitally Signed

    Signer: RASHMI RAMAN SINGH


    Date: Mon, Jan 16, 2023 15:26:32 IST
    Location: NOIDA
    Reason: Signing Policy for OICL
    Attached to and forming part of policy number 131201/48/2023/249

    Term of Insurance: As per the Clauses written hereunder and/or attached herewith .
    User Defined

    Excess :

    Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy
    shall be void abinitio (from inception).

    In witness whereof the undersigned being authorised by and on behalf of the Company has/have herein to set his/their hands
    at BO VASAI (GSTIN: 27AAACT0627R4ZW) on 20TH DAY OF MAY 2022.

    For and on behalf of


    Entered By : dipankumar.mehta@gmail.com The Oriental Insurance Company Limited

    Policy Printed By : OICL IP :


    Authorised Signatory
    Policy Printed On : 16-JAN-23 15:26:41 MAC :

    Place : MUMBAI For and on behalf of


    Date : 20/05/2022 The Oriental Insurance Company Limited

    This is an electronically generated document (Policy Schedule).The


    Policy document duly stamped will be sent by post.

    In case of any query regarding the Policy please call Toll


    Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

    CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 2

    IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in

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