CERTIFICATE OF INSURANCE Attached to and Forming part of G.P.A Policy No.:361201/42/12/8200000203 Certificate No : NIC/GPA-6269 Insured Name : LAKHWINDER SINGH Address : V.P.O. HAMIRA NEAR WATER TANK TEH.& DISTT. KAPURTHALA KAPURTHALA -144601 PUNJAB INDIA Tel. / Fax / Email : 9878443259 Period of Insurance : 3/9/2012 To 2/9/2013 Issue Office Code : 361201 Issue Office Name : BO GHAZIABAD Address : 65,NAVYUG MARKET,GHAZIABAD,UTTAR PRADESH,PIN-201001 : : : Tel. : 0120-2790069,2794178 0120-2791094 Fax : Email : [email protected] Premium Rs. 260.68/- (Inclusive S.T) Particulars of the Persons Covered Sr. No. Name of Person Covered. Age Sum Insured Person Accident Section 80 % Hospitalization Section 20 % 1. LAKHWINDER SINGH [3285760] 54 320000 /- 80000 /- Assignee Detail Sr.No. Name. Assignee Name Relationship Share % 1. LAKHWINDER SINGH [3285760] DAVINDER KAUR HUSBAND 100% Total Sum Insured in words : Indian Rs. Four Lacs The Insurance under the certificate is subjected to conditions, clauses, warranties, endorsement of Policy. Place.: GHAZIABAD Date.: 3/9/2012 For National Insurance Company Limited. Authorized Signatory. Note: 1. No claim will be entertained if loss information is received after 7 days from the Date of loss. 2. One Person can avail of benefits under only one certificate of Insurance.
Posted on: Sat, 29 Jun 2013 07:43:48 +0000
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