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The Oriental Insurance Company Limited: Agent/Broker Details NA0000002938 DIRECT (CBO-13 423001) Dev - Off.Code

This document is an endorsement schedule for an insurance policy issued by The Oriental Insurance Company Limited to P.SRINIVASA RAO. The endorsement updates the insured's contact number in the policy and is subject to the original terms and conditions of the policy. No other changes are made to the policy sums or premiums under this endorsement.

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107 views2 pages

The Oriental Insurance Company Limited: Agent/Broker Details NA0000002938 DIRECT (CBO-13 423001) Dev - Off.Code

This document is an endorsement schedule for an insurance policy issued by The Oriental Insurance Company Limited to P.SRINIVASA RAO. The endorsement updates the insured's contact number in the policy and is subject to the original terms and conditions of the policy. No other changes are made to the policy sums or premiums under this endorsement.

Uploaded by

nasireddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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The Oriental Insurance Company Limited

PACKAGE POLICY - ENDORSEMENT SCHEDULE


Attached to and forming part of Policy No : 423001/31/2022/291
Endorsement No : 423001/31/2022/291-001 Endorsement Date : 20/05/2021
Endorsement Effective From 14:04 On 20/05/2021 To Midnight Of 08/05/2022
Insured's Code : 49085405 Issue Office Code : 423001
Insured's Name : P.SRINIVASA RAO (GSTIN: 0) Issue Office Name : CBO 13 (GSTIN: 29AAACT0627R4ZS)
Address : FLAT#201 SHREEHOMES ELITE 6TH Address : # 1188, I FLOOR, 26TH MAIN
MAIN ROAD VIJYABANK LAYOUT RAGIGUDDA TEMPLE MAIN ROAD
BILEKAHALLI
9TH BLOCK, JAYANAGAR
BANGALORE KARNATAKA 560041
BANGALORE KARNATAKA 560076

Tel /Fax /Email : NULL / / 9739262244 / Tel /Fax /Email : 080-26535460 / 080-22449746 /
[email protected] [email protected]
Insured's DOB : n

Agent/Broker Details
Dev.Off.Code : NA0000002938 DIRECT (CBO-13 423001)
Agent/Broker :
Address :
: ////
Tel/Fax/Email

Total Premium : 0 Type of Endorsement : General endorsement


Collection No & Dt : GST INVOICE NO :292046438 UIN :0

Co Insurance Details :

ENDORSEMENT

Notwithstanding anything contrary contained herein,it is hereby agreed and declared,as per insured's advice that the correct
contact number of insured be read as above,and not as stated in the policy. Subject otherwise to the the terms and
exceptions conditions and limitations of this policy

SCHEDULEOF PREMIUM

Cover Description Original Endorsement Revised Endorsement


Sum Insured Sum Insured Sum Insured Premium

Total Amount in figures and words : 0 ( INDIAN RUPEES only )

Place : : BANGALORE For and on behalf of


The Oriental Insurance Company Limited
Date : 20/05/2021

Authorised Signatory

All the Amounts mentioned in this policy are in INDIAN RUPEES Page 1 of 2
The Oriental Insurance Company Limited

Attached to and forming part of policy number 423001/31/2022/291

The Insurance under this policy / endorsement is subject to following terms,conditions,waranties & clauses specified in the
policy / endorsement:

All other terms/conditions/waranties/clauses in the policy remain unaltered

Waranted that in case of dishounour of premium cheque(s) the company shall not be liable under the endorsement and
the endorsement shall be void ab initio
In witness whereof the undersigned begin authorised by and on behalf of the company has herein to set his hands.

Entered By : KONDALU KASIREDDY For and on behalf of


The Oriental Insurance Company Limited
Examined By : KONDALU KASIREDDY

Authorised Signatory

Place : : BANGALORE For and on behalf of


The Oriental Insurance Company Limited
Date : 20/05/2021

Authorised Signatory

All the Amounts mentioned in this policy are in INDIAN RUPEES Page 2 of 2

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