Scribd Logo
Upload

Welcome to Scribd!

  • 19 views

    Reliance General Insurance

    Uploaded by

    druhin.milly2017
    This document provides a certificate of insurance for Jayanta Banerjee under a group personal accident policy with Reliance General Insurance. The key details include: - Policy number: 920231829510000023 - Certificate number: 130232029510000054 - Coverage amount of Rs. 25 lakh each for death, permanent total disability, and permanent partial disability arising from injury. - Annual premium of Rs. 29,500 is to be paid by fund transfer. - Nominee for benefits is Sonali Banerjee, the insured's spouse.

    Copyright:

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

    Reliance General Insurance

    Uploaded by

    druhin.milly2017
    19 views5 pages
    This document provides a certificate of insurance for Jayanta Banerjee under a group personal accident policy with Reliance General Insurance. The key details include: - Policy number: 920231829510000023 - Certificate number: 130232029510000054 - Coverage amount of Rs. 25 lakh each for death, permanent total disability, and permanent partial disability arising from injury. - Annual premium of Rs. 29,500 is to be paid by fund transfer. - Nominee for benefits is Sonali Banerjee, the insured's spouse.

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides a certificate of insurance for Jayanta Banerjee under a group personal accident policy with Reliance General Insurance. The key details include: - Policy number: 920231829510000023 - Certificate number: 130232029510000054 - Coverage amount of Rs. 25 lakh each for death, permanent total disability, and permanent partial disability arising from injury. - Annual premium of Rs. 29,500 is to be paid by fund transfer. - Nominee for benefits is Sonali Banerjee, the insured's spouse.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views5 pages

    Reliance General Insurance

    Uploaded by

    druhin.milly2017
    This document provides a certificate of insurance for Jayanta Banerjee under a group personal accident policy with Reliance General Insurance. The key details include: - Policy number: 920231829510000023 - Certificate number: 130232029510000054 - Coverage amount of Rs. 25 lakh each for death, permanent total disability, and permanent partial disability arising from injury. - Annual premium of Rs. 29,500 is to be paid by fund transfer. - Nominee for benefits is Sonali Banerjee, the insured's spouse.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    05-11-2020

    Premium Certificate
    Financial Year 2020-2021
    To whomsoever it may concern

    Jayanta Banerjee
    31-2A Beer Para Lane
    Chitpur
    Kolkata
    West Bengal

    Pin: 700030
    Phone1:
    Phone2: 9903600997

    Client ID: 53723393

    This is to confirm that we have received premium(s) from the above named Policy holder under the Policy No (s) as per
    details given below

    Policy No: 02400138

    Cess, as
    Plan Component Premium(A) S.Tax/GST(B)*
    applicable(C)*

    Kotak Assured Income Plan (UIN-107N069V01) 14771 332 -

    Premiums are eligible for tax deduction under Section 80C/80CCC of Income Tax Act, 1961. Tax laws are subject to
    change from time to time.Please consult your tax advisor for implications.

    Additional Premium due for Financial Year 2020-2021

    Policy Plan Component Premium Due Premium Due Date Frequency

    Kotak Assured Income Plan


    02400138 15103 08-Nov-2020 Half Yearly
    (UIN-107N069V01)

    Notes:

    1 Goods and Services Tax and Cess, as applicable is levied at the tax rates in force which is subject to changes from
    time to time.
    2 Goods and Services Tax category: Life Insurance Services and Management of Investment under ULIP Services.
    3 Goods and Services tax is applicable from 1st July' 2017.
    4 This is a computer generated advice and does not require any signature.
    5 In order to abide by the Foreign Account Tax Compliance Act (FATCA), kindly submit Insurance FATCA
    Declaration, separately, if the answer to any of these questions is a `yes': (i) Are you a citizen of any other country
    apart from India (dual or multiple citizenship); (ii) Are you a resident (for tax purposes) of any other country other
    than India; (iii) Do you hold a green card of USA or any similar card for any other country?
    It is mandatory for you to report any future changes in your tax status to Kotak Life Insurance within 30 days of such
    change. Until we receive a written intimation about any such change, we shall presume that there is no change in
    your tax residency status and consider your earlier submitted declarations, if any, as valid. For any queries about
    your tax residency, please contact your tax advisor.

    1
    05-11-2020

    Premium Payment History

    Policy No Receipt No Paid Date Paid Amount Frequency

    02400138 57322396 08-Jun-2020 15103 HALF YEARLY

    2
    Reliance Financial Protection Personal Accident Policy - Certificate of Insurance

    Policyholder Details

    Group Policy Number: 920231829510000023 Certificate No: 130232029510000054

    Insured name : JAYANTA BANERJEE Policy holder Name: YES Bank Limited

    Correspondence Address:FLAT E-203 2ND FLOOR ALAKNANDA Policy Holder Address: YES Bank Tower,IFC – 2, 8th Floor,
    CGHS, PLOT GH-45 SECTOR-56, GURGAON SECTOR-56
    India Bulls Finance Centre, Senapati BapatMarg, Mumbai 400013
    GURGAON HARYANA-122011

    Location:NORTH Cover Period: From 00.00 hrs 01-10-2020

    To 00.00 hrs 30-09-2025


    Contact No: 9953540997 Policy servicing branch Code/Address: Wave Silver Tower , Plot
    No D-6, 6th Floor, Unit No 19, Sector-18, Noida-201301
    Email-ID : [email protected]

    Pan/Aadhar No : AIOPB9401C Application No. & Date: PLN000300681292 & 01-10-2020

    Premium payment mode: FUND TRANSFER Tax Invoice No. & Date: P103120108285 & 31-10-2020

    Whether Credit Link Policy: Yes GSTIN/UIN of Policy holder: NA

    Details of the Insured Member

    Name JAYANTA BANERJEE

    Gender MALE

    Date of Birth (DD/MM/YYYY) 30-03-1973

    Occupation SALARIED

    PED condition, if any NA

    Loan Type PLN

    Loan Account Holder SINGLE

    Sanctioned Loan Amount 2525000

    Disbursed Loan Amount 2525000

    Address and contact No FLAT E-203 2ND FLOOR ALAKNANDA CGHS, PLOT GH-
    45 SECTOR-56, GURGAON SECTOR-56 GURGAON
    HARYANA-122011 -Cont. - 9953540997

    Identification No. PLN000300681292

    Benefit Details
    Plan opted Fi xed

    Coverage Amount In INR Sum Insured


    Benefit 1 Death arising out of an injury 2500000
    Benefit 2 Permanent Total Disability arising out of an Injury 2500000

    An ISO 9001:2008 Certified Company


    Reliance General Insurance Company Limited. IRDAI Registration No. 103.
    Registered Office: H Block, 1 Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710. Corporate Office/Policy Issuing Office: Reliance Centre, South
    Wing, 4 Floor, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055. Corporate Identity No.U66603MH2000PLC128300.
    UIN: RELPAGP18103V011718. RGI/MCOM/CO/MI-06/POLICY-SCHEDULE/Ver. 1.0/190618. Trade Logo displayed above belongs to Anil Dhirubhai Ambani
    Ventures Private Limited and used by Reliance General Insurance Company Limited under License..
    Benefit 3 PPD premium 2500000
    Benefit 4 Burn premium 2500000
    Benefit 5 Child1 Education Premium Age19 250000

    17B37706 YES BANK LIMITED 0018002000


    Intermediary Code Intermediary Name Intermediary Contact No.

    Premium Details Amount (`)


    Net Premium 25000
    IGST (@18%) 4500
    CGST(@9%) -
    SGST(@9%) -
    Total Amount (`) 29500

    GSTIN: 09AABCR6747B1ZE, HSN - 9971


    Description of services: Insurance Provider

    Nominee Details
    Name of Nominee SONALI BANERJEE D. O B 20-07-1980 Gender FEMALE

    Relationship with SPOUSE


    Address of Nominee FLAT E-203 2ND FLOOR ALAKNANDA CGHS, PLOT
    Insured
    GH-45 SECTOR-56, GURGAON SECTOR-56
    GURGAON HARYANA-122011

    Contact details for Claims & Policy Servicing


    Contact Details Policy Servicing Claim Servicing
    Name: Customer Service Team RCare Health
    Correspondence Reliance General Insurance Reliance General Insurance Company Ltd.
    Address: Winway Building 2nd & 3rd Floor,11/12 Block No. 1-89/3/B/40 to 42/ks/301, 3rd floor, Krishe
    No-4,Old no-67,South Tukoganj -Indore(M.P) – Block, Krishe Sapphire, Madhapur,
    452001.
    Hyderabad-500081
    Email [email protected] [email protected]
    Contact No.
    Fax No. xxxxxxxxxx 1800 3010 3001
    Website www.reliancegeneral.co.in
    www.reliancegeneral.co.in
    Toll Free No. 1800 3009
    1800 3009

    Consolidated Stamp duty Paid vide Letter of Authorisation No. CSD/53/2020/1645dated 23 July 2020 at General Stamp Office,
    Mumbai.**** Not Applicable for the State of Jammu Kashmir.
    Warranties and Special Conditions if any:
    *This policy will be applicable to Loan applicant only
    * In case of Claim payment under Personal Accident – (Accidental Death or Permanent Total Disabilities) there will be no further claim
    accepted and the cover will cease to exist.
    * In the event of any incorrect representation, the liability shall be upon the Policyholder
    * In case of any claim made under the policy no premium shall be refunded on cancellation of the policy.
    *Insurance coverage shall commence not earlier than the date of disbursal of loan
    This Policy Schedule / Certificate of Insurance should be read in conjunction with the Policy Wordings and Endorsements if an y - In case of
    discrepancy, in the Benefits / Section as mentioned in the Policy Schedule / Certificate of Insurance as compared to Policy Wordings,
    the Coverage given in Policy Schedule / Certificate of Insurance shall prevail

    An ISO 9001:2008 Certified Company


    Reliance General Insurance Company Limited. IRDAI Registration No. 103.
    Registered Office: H Block, 1 Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710. Corporate Office/Policy Issuing Office: Reliance Centre, South
    Wing, 4 Floor, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055. Corporate Identity No.U66603MH2000PLC128300.
    UIN: RELPAGP18103V011718. RGI/MCOM/CO/MI-06/POLICY-SCHEDULE/Ver. 1.0/190618. Trade Logo displayed above belongs to Anil Dhirubhai Ambani
    Ventures Private Limited and used by Reliance General Insurance Company Limited under License..

    You might also like