COIJansuraksha_JNS-PMSBY-24-25-00214391083-427_PMSBY

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CERTIFICATE OF INSURANCE (COI)

(Pradhan Mantri Suraksha Bima Yojana)

Member Details Policy Details

Name of Member SONALI MONDAL Master Policy Number 240600422499999901

Date of Birth 27/09/1977 Insurer NATIONAL INSURANCE COMPANY


LIMITED
Mobile Number 8918179323
Unique Reference JNS-PMSBY-24-25-00214391083-
Address VILLAGE NAMOPARA LALBAZAR, PO
Number (URN) 427
LALBAZAR PS KULTI, ASANSOL,
BARDDHAMAN, WEST BENGAL,
713343
Bank Details
Aadhar Number -

Name of Nominee AROJIT MONDAL Name of Bank/Post STATE BANK OF INDIA


Office
Age of Nominee 25 YEARS
Bank / Post office a/c 41043878683
no.

Branch Code 05703

Branch Address KENDUA BAZAR, PASCHIM


BARDHAMAN, WEST BENGAL,
713343

Coverage Details

Date of Commencement 06/12/2024 18:59:27 Cover End Date 31/05/2025


of Cover
Annual Renewal Date 1ST JUNE OF EVERY YEAR
Sum Assured Rs. 2,00,000*

Premium Amount Paid Rs. 20.0

- *Rs. 2 Lakhs is payable on member's death due to accident. Signature of authorized official of bank / post office
06/12/2024 18:59:27
- Rs. 2 lakhs is payable on total and irrecoverable loss of both
eyes or loss of use of both hands or feet or loss of sight of one
eye and loss of use of one hand or foot due to accident

- Rs 1 Lakh is payable on total and irrecoverable loss of sight of


one eye or loss of use of one hand or foot due to accident

- The terms and conditions of the scheme are available at


https://jansuraksha.in

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