THE NEW INDIA ASSURANCE CO. LTD.

(Government of India Undertaking)

Personal Accident Insurance ( )

UIN Number -
Insured Name : BUREAU VERITAS INDIA PVT LTD
Insured's Details Issuing Office Details
Customer ID : PO63963765 Office Code : VILE PARLE D.O. II (141600)
Address : BUREAU VERITAS INDIA PVT Address : VILE PARLE D.O. II JEEVAN SEWA
LTD.,72 BUSINESS PARK, 8TH BLDG.
FLOOR MAROL INDS. AREA 2ND FL., S.V.ROAD ,SANTACRUZ
OPP SEEPZ GATE NO.2, MIDC WEST
CROSS ROAD "C" ,400054
ANDHERI (E), MUMBAI-400093
MUMBAI ,MAHARASHTRA, 400093
Phone No : Phone No : 26633291 / 26633286
E-mail/Fax : [email protected], / E-mail/Fax : [email protected] /
26633290
PAN No : AABCB6767B S.Tax Regn. No : AAACN4165CST178
GSTIN/UIN : 27AABCB6767B1ZS / NA GSTIN : 27AAACN4165C3ZP
: SAC : 997139 (Other non-life insurance
services excl RI)

Policy Details
Policy Number : 14160042200100000522 Business Source Code
Period of Insurance : From:23/10/2020 01:35:28 PM To: Dev.Off level./Broker/Corp. : ANVITI INSURANCE BROKERS PVT.
22/10/2021 11:59:59 PM Agent/IMF/POS/Web LTD. - (BR00000343)
Aggregator ANVITI INSURANCE BROKERS PVT.
LTD. (SI00150812)

Date of Proposal : 23-Oct-20 Agent/Bancassurance/Spe :

cified Person
Prev. Policy no. : Phone No :
Client Type : Corporate E-mail/Fax : / / /
Staff Discount : No Type of Cover : 24 hours Cover required

Premium: GST: Total (`) Stamp Duty Rupees (in words) Receipt No. & Date:
` 457394 ` 82330 ` 539724 `50 RUPEES FIVE LAC 1416008120000000
THIRTY-NINE 4984 - 29/10/20
THOUSAND SEVEN
HUNDRED TWENTY-
FOUR ONLY

Benefits under the Policy: GROUP NAMED

Number of Persons
Sl. No Emp Name Age Cadre Relation Risk Excess Sum Medical War & Allied Cover opted
ID Of Group Insured Extensi
Insured on
Sum Country Type of
Insured Period
1 123 TSI`381, 45 EMPLO Self Risk 0 1000000 Yes 0 NA NA
16,15,33 YEE - Group II
5 1111

Table Details:
Sl.No Table A Table B Table C Table D
Table A Sum Insured Table B Sum Insured Table C Sum Insured Table D Sum Insured
1 Yes 500000 Yes 500000 No 0 No 0
2

Sl.No Special Conditions

1 A
2

Signature Not
Verified
Digitally signed
by Srinivasan Policy No. : 14160042200100000522Document generated by 35242 at 29/10/2020 14:09:53 Hours.
Vaideswaran Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
Date: 2020.10.29
For redressal
14:09:55 IST of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own
grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website
http://newindia.co.in.

Page 1 of 2
THE NEW INDIA ASSURANCE CO. LTD.
(Government of India Undertaking)

Premium and GST Details

Rate of Tax Amount in INR
Premium ` 457394.00
SGST 9 41165
CGST 9 41165
IGST 0 0

The Policy Shall be subject to PERSONAL ACCIDENT INSURANCE ( ) policy clauses attached herewith IN WITNESS WHEREOF
the undersigned duly authorized hereinto set his hand

Place:- For and on behalf of

Date:- The New India Assurance Company Limited

Duly Constituted Attorney(s)

Mudrank_____________Dt.___________consolidated Stamp Fees Paid by Pay Order Number_______________vide receipt

number___________dt.__________.

Stamp Duty under the Policy is `

Tax Invoice No : 14160020P0010438

IRDA Registration Number: 190

Policy No. : 14160042200100000522Document generated by 35242 at 29/10/2020 14:09:53 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.
For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own
grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website
http://newindia.co.in.

Page 2 of 2
 RETURNABLE MATERIAL GATEPASS
To
Main Gate Security Works Date: 29/07/2021
CESC Limited
Southern Generating Station
Garden Reach, Kolkata, West Bengal

Through Proper Channel

Vendor Name : Bureau Veritas India Private Limited
W.O. Details : CESC’s Underwater Cable Tunnel Assessment of General Condition,
Structural Soundness and Operational Safety Project vide letter no. ADM
54757 dated 30th April 2021

The following material of ours may please be allowed to take inside the CESC Limited Southern
Generating Station premises in connection with the above mentioned job at whole plant premises.
The material details are as follows:

Sl. Particulars Serial No. Quantity

No.
Infrared Therometer Make Workzone Model No.
1 H20348348 1 Set
MT-4
Vibro Measurer with accessories Make Metrix+
2 N961101 1 Set
Model No. VM8200mk II+
Portable Hardness Tester with accessories Make
3 000055010538 1 Set
Metrix + Model No. HARD MASTER – P
4 Harness Tester Calibration Bar L7101144 1 No.
Coat Gauge with calibration sheets Make Metrix+
5 HL20M09NO2381 1 Set
Model No. FN xL
Ultrasonic Thickness Gauge with accesories Make
6 0000048380000094 1 set
Time Inc. Model No. TT100
Digital Vernier Caliper Make Metrix +Model No.
7 A21031601 1 No.
CD-6”ASX
8 Weld Gauge Make Kristeel 1 No.
9 Distance Meter Make Metrix+ Model No. DM40 N190106722 1 No.
10 Sample Bag 40 nos.
11 Ultrasonic Gel 1 No.
12 Chisel 2 Nos.
13 Measuring Tape 5 m Make Satnley STHT36127 1 No.
14 Caution Tape 1 No.
These material of ours will be taken out after completion of the above mentioned jobs.
Yours faithfully,

SUBHADEEP GHOSH
Sr. NDT Engineer
Bureau Veritas (India) Private Limited Regd. Office: 72 Business Park, Ground Floor, Branches: Ahmedabad, Bangalore
Eco Centre, EM-04, 16th Floor, Unit-1602 Marol Indusrial Area, MIDC, Cross Road ‘C’, Baroda, Bhopal, Bhubaneshwar, Chennai
Sector -5, Kolkata – 700 091, India Andheri (East), Mumbai-400093, India Coimbatore, Delhi, Goa, Hubli, Hyderabad
Tel.: +91 33 40270200 Tel.: +91 22 62742000 Fax: +91 22 62742008 Indore, Jaipur, Kandla, Kochi, Ludhiana
Fax: +91 33 40270299 www.bureauveritas.co.in Nagpur, Nashik, Pune, Raipur, Surat
[email protected] CIN: U74210MH2001PTC134262 Trichy & Visakhapatnam
 SAME DAY RETURNABLE MATERIAL GATEPASS
To
Main Gate Security Works Date:
CESC Limited
Southern Generating Station
Garden Reach, Kolkata, West Bengal

Through Proper Channel

Vendor Name : Bureau Veritas India Private Limited
W.O. Details : CESC’s Underwater Cable Tunnel Assessment of General Condition,
Structural Soundness and Operational Safety Project vide letter no. ADM
54757 dated 30th April 2021

The following material of ours may please be allowed to take inside the CESC Limited Southern
Generating Station premises in connection with the above mentioned job at whole plant premises.
The material details are as follows:

Sl. Particulars Serial No. Quantity

No.
Infrared Therometer Make Workzone Model No.
1 H20348348 1 Set
MT-4
Vibro Measurer with accessories Make Metrix+
2 N961101 1 Set
Model No. VM8200mk II+
Portable Hardness Tester with accessories Make
3 000055010538 1 Set
Metrix + Model No. HARD MASTER – P
4 Harness Tester Calibration Bar L7101144 1 No.
Coat Gauge with calibration sheets Make Metrix+
5 HL20M09NO2381 1 Set
Model No. FN xL
Ultrasonic Thickness Gauge with accesories Make
6 0000048380000094 1 set
Time Inc. Model No. TT100
Digital Vernier Caliper Make Metrix +Model No.
7 A21031601 1 No.
CD-6”ASX
8 Weld Gauge Make Kristeel 1 No.
9 Distance Meter Make Metrix+ Model No. DM40 N190106722 1 No.
10 Sample Bag 40 nos.
11 Ultrasonic Gel 1 No.
12 Chisel 2 Nos.
13 Measuring Tape 5 m Make Satnley STHT36127 1 No.
14 Caution Tape 1 No.
These material of ours will be taken out on the same day.
Yours faithfully,

SUBHADEEP GHOSH
Sr. NDT Engineer
Bureau Veritas (India) Private Limited Regd. Office: 72 Business Park, Ground Floor, Branches: Ahmedabad, Bangalore
Eco Centre, EM-04, 16th Floor, Unit-1602 Marol Indusrial Area, MIDC, Cross Road ‘C’, Baroda, Bhopal, Bhubaneshwar, Chennai
Sector -5, Kolkata – 700 091, India Andheri (East), Mumbai-400093, India Coimbatore, Delhi, Goa, Hubli, Hyderabad
Tel.: +91 33 40270200 Tel.: +91 22 62742000 Fax: +91 22 62742008 Indore, Jaipur, Kandla, Kochi, Ludhiana
Fax: +91 33 40270299 www.bureauveritas.co.in Nagpur, Nashik, Pune, Raipur, Surat
[email protected] CIN: U74210MH2001PTC134262 Trichy & Visakhapatnam
FW: Quantum - Souvick Das - 188912 - Fit For Employment - HR
Avishek DAS <[email protected]>
Sat 24-07-2021 21:48
To: Subhadeep GHOSH <[email protected]>
Cc: Syed SHAHID <[email protected]>
 
 
 
Thanks & Regards :
 
Avishek Das
Assistant Manager – Human Resource
 
From: Quantumcorphealth.com <[email protected]>

Sent: 24 July 2021 12:29

To: Avishek DAS <[email protected]>; Admin Kolkata/IND/VERITAS <[email protected]>; [email protected]

Subject: Quantum - Souvick Das - 188912 - Fit For Employment - HR

 

Dear Sir / Madam,

This is to inform you that Mr  Souvick Das  scheduled for

Pre-employment   of BVI  has successfully completed the

tests and he  is Fit for employment.

  

  Click here to download the attachment

Thanks & Regards,

Sonali Kangane

Operation Executive

022684888831 / 0​ 22 6848 8840 / 9987683337

PLEASE NOTE

Kindly go through the reports for further recommendations (if any). The fitness status

may vary depending on many factors and clinical correlation has to be considered.

 Due to plastic ban, our diagnostics center shall be sharing X-ray reports findings (report preview) only

Quantum Services
FW: Quantum - Subhadeep Ghosh - 188911 - Fit For Employment - HR
Avishek DAS <[email protected]>
Sat 24-07-2021 21:49
To: Subhadeep GHOSH <[email protected]>
Cc: Syed SHAHID <[email protected]>
 
 
 
Thanks & Regards :
 
Avishek Das
Assistant Manager – Human Resource
 
From: Quantumcorphealth.com <[email protected]>

Sent: 24 July 2021 12:25

To: Avishek DAS <[email protected]>; Admin Kolkata/IND/VERITAS <[email protected]>; [email protected]

Subject: Quantum - Subhadeep Ghosh - 188911 - Fit For Employment - HR

 

Dear Sir / Madam,

This is to inform you that Mr  Subhadeep Ghosh  scheduled for

Pre-employment   of BVI  has successfully completed the

tests and he  is Fit for employment.

  

  Click here to download the attachment

Thanks & Regards,

Sonali Kangane

Operation Executive

022684888831 / 0​ 22 6848 8840 / 9987683337

PLEASE NOTE

Kindly go through the reports for further recommendations (if any). The fitness status

may vary depending on many factors and clinical correlation has to be considered.

 Due to plastic ban, our diagnostics center shall be sharing X-ray reports findings (report preview) only

Quantum Services