Pradhan Mantri Suraksha Bima Yojana
Certificate of Insurance (COI)
Pradhan Mantri Suraksha UNITED INDIA INSURANCE COMPANY Master Policy 0504004224P999990252
Bima Yojana Number
Name of Member BIKRAM DEB Unique Reference JNS-PMSBY-24-25-
Number (URN) 00068940648-290
Address ICHAI LALCHERRA, ICHAILALCHHARA, Mobile Number 6009141209
DHARMANAGAR, NORTH TRIPURA, TRIPURA,
799251
Pan Number JEDPD6390Q Date of Birth 15/11/2002
Bank / Post office a/c no. 579702010009235 Name of Bank/Post UNION BANK OF INDIA
Office
Branch Address SADAY VILLA NAYAPARAVIVEKANAND ROAD, Branch Code 557978
NORTH TRIPURA, TRIPURA, 799250
Name of Nominee SHIKHA DEB Age of Nominee 48 YEARS
Date of Commencement 07/08/2024 17:27:56 Cover End Date 31/05/2025
of Cover
Sum Assured Rs. 2,00,000* Premium Amount Rs. 20.0
Paid
Annual Renewal Date 1ST JUNE OF EVERY YEAR
* Rs. 2 Lakhs is payable on member's death due to accident.
Rs. 2 lakhs is payable on total and irrecoverable loss of both eyes or loss of use of both hands or Signature of authorised official
feet or loss of sight of one eye and loss of use of one hand or foot due to accident of bank / post office
Rs 1 Lakh is payable on total and irrecoverable loss of sight of one eye or loss of use of one hand 07/08/2024
or foot due to accident
17:27:56
The terms and conditions of the scheme are available at https://jansuraksha.in/
