Pradhan Mantri Jeevan Jyoti Bima Yojana
Certificate of Insurance (COI)
Pradhan Mantri Jeevan STAR UNION DAI-ICHI LIFE INSURANCE COMPANY LIMITED Master Policy JJ000002
Jyoti Bima Yojana Number
Name of Member TOMPI RUDRA PAUL Unique JNS-PMJJBY-24-25-
Reference 00085217270-335
Number (URN)
Address COLLEGE ROAD VILLAGE SOUTH HURUA, SOUTH HURUA Mobile Number 6009380903
NEAR GOVERNMENT DEGREE COLLEGE, DHARMANAGAR,
NORTH TRIPURA, TRIPURA, 799251
Pan Number GQMPP5323K Date of Birth 21/03/1990
Bank / Post office a/c 579702010008510 Name of UNION BANK OF INDIA
no. Bank/Post Office
Branch Address SADAY VILLA NAYAPARAVIVEKANAND ROAD, NORTH Branch Code 557978
TRIPURA, TRIPURA, 799250
Name of Nominee SHANKAR RUDRAPAUL Age of Nominee 35 YEARS
Date of 15/10/2024 13:21:49 Cover End Date 31/05/2025
Commencement of
Cover
Sum Assured Rs. 2,00,000* Lien Period** 30 DAYS FROM THE DATE
OF ENROLMENT / RE-
JOINING
Premium Amount Paid Rs. 342.0 Annual Renewal 1ST JUNE OF EVERY YEAR
Date
* Rs.2 lakh is payable on member's death due to any cause.
Signature of authorised official of bank / post
** In case of death (other than due to accident) during lien period , no claim would
office
be admissible.
The terms and conditions of the scheme are available at https://jansuraksha.in/
15/10/2024 13:21:49