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    Gtis Insur-1-1 PDF

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    Shankar.R shara
    The policy provides coverage for 10 engineers earning a total monthly wage of 80,000 Indian rupees. It also covers an unspecified number of employees above 8000 rupees monthly in industrial rack supply and erection work within India. The policy period is from December 24, 2019 to January 23, 2020. The total premium is 2266 Indian rupees.

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

    Gtis Insur-1-1 PDF

    Uploaded by

    Shankar.R shara
    92 views1 page
    The policy provides coverage for 10 engineers earning a total monthly wage of 80,000 Indian rupees. It also covers an unspecified number of employees above 8000 rupees monthly in industrial rack supply and erection work within India. The policy period is from December 24, 2019 to January 23, 2020. The total premium is 2266 Indian rupees.

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    GTIS INSUR-1-1.pdf

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    The policy provides coverage for 10 engineers earning a total monthly wage of 80,000 Indian rupees. It also covers an unspecified number of employees above 8000 rupees monthly in industrial rack supply and erection work within India. The policy period is from December 24, 2019 to January 23, 2020. The total premium is 2266 Indian rupees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    92 views1 page

    Gtis Insur-1-1 PDF

    Uploaded by

    Shankar.R shara
    The policy provides coverage for 10 engineers earning a total monthly wage of 80,000 Indian rupees. It also covers an unspecified number of employees above 8000 rupees monthly in industrial rack supply and erection work within India. The policy period is from December 24, 2019 to January 23, 2020. The total premium is 2266 Indian rupees.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    THE NEW INDIA ASSURANCE CO. LTD.

    (Government of India Undertaking)

    POLICY SCHEDULE FOR EMPLOYEES COMPENSATION INSURANCE

    Insured's Name : GLOBETECH INDUSTRIAL SOLUTIONS


    Insured's Details Issuing Office Details
    Customer ID : PO62032902 Office Code : PUDHUR MICRO OFFICE (710208)
    Address : NO.3, 14TH CROSS STREET, LENIN Address : NO.72, ANNA SALAI, REDHILLS ROAD,
    NAGAR ORAGADAM, AMBATTUR
    AMBATTUR
    ,600053
    CHENNAI ,TAMIL NADU, 600053
    Phone No : 9840600875 Phone No : 04426571038
    E-mail/Fax : [email protected], / E-mail/Fax : [email protected] /
    PAN No : S.Tax Regn. No : AAACN4165CST178
    GSTIN/UIN : 33AIBPT0353N1Z6 / NA GSTIN : 33AAACN4165C4ZV
    : SAC : 997139 (Other non-life insurance services
    excl RI)

    Policy Details
    Policy Number : 71020836190100000208 Business Source Code
    Period of Insurance : From: 24/12/2019 12:00:01 AM To: Dev.Off : DI_PUDHUR MICRO OFFICE -
    23/01/2020 11:59:59 PM level./Broker/Corp. (DI710208)
    Agent/Web Aggregator
    Date of Proposal : 24-Dec-19 Agent/Bancassurance/ : Mr. PRABAKARAN P (NIAAG00102648)
    Specified Person PRABAKARAN P (SI00165988)
    Prev. Policy no. : Phone No : 9952995177 / 4426571038
    Client Type : Non-Corporate E-mail/Fax : , [email protected] /
    [email protected], / /

    Premium(`) GST(`) Total (`) Total (` in words) Receipt No. & Date
    1920 346 2266 RUPEES TWO 7102088119000000343
    THOUSAND TWO 10 - 24/12/19
    HUNDRED SIXTY-SIX
    ONLY

    Details of Employees with monthly wages upto ` 8000:


    Categories Sub Categories No of Cash Total
    Employee Wages
    Engineers -Hydraulic Machinery excl. Lift Erecting away from Shop or yard 10 80000
    and Crane making and erecting 01. Rajmohan
    02. Anand Babu
    03. Rajadurai
    04. Mani
    05. Arun kumar
    06. Sethin
    07. Anish Salamon
    08. Rathakrishnan
    09. Sathyaraj
    10. Balakrishnan

    Details of Employees with monthly wages above ` 8000:


    Categories Sub Categories No of Cash Total
    Employee Wages
    Trade Description Particular of Works Location Details Included All Sub -
    Contractors
    INDUSTRIAL RACK SUPPLY AND INDUSTRIAL RACK SUPPLY AND WITHIN INDIA
    ERECTION ERECTION

    Contractor/Sub-Contractor Details:
    Serial No Name of Description Categorie No. of Workers Amount Wages
    Contractor
    Skilled Unskilled Others

    Extensions under the Policy Cover


    Name of the Extension Sub Limit of the Extension Deductibles of the Extension

    Signature
    Verified

    Digitally signed by
    Srinivasan
    Vaideswaran Policy No. : 71020836190100000208 Document generated by 31215 at 24/12/2019 09:24:02 Hours.
    Date: 2019.12.24
    09:24:02 IST Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

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