Bajaj Allianz General Insurance Company Ltd.

GE Plaza, Airport Road, Yerawada, Pune - 411006
POLICY SCHEDULE

Policy issuing office and Correspondence address for com- Bajaj Allianz General Insurance Co Ltd, 4th Floor,, North
munication by policyholder for claim, service request, notice, East Plaza, Erramanzil X Roads, , Beside BMW Showroom,
summons, etc. : , HYDERABAD-500082 Phone No :04033122800
Policy No. OG-19-1801-9931-00070279
Product All Risk Policy
Cover Category(9931) Mobile Tablet Laptop Camera Projector and Neon sign
Period of Insurance From 00:00:00 24-JAN-19 To 23-JAN-20 Policy Issued On 05-FEB-19
Midnight
Co-Insurance Details Own Share: 100%
Insured Name ARUN SREEHARI GADAPA
Insured Address HNO 2-2-647/201/6/A, CENTRAL CECISE COLONY BAGH AMBERPET - OPP PAPAJI DHABA, PO
Area - HYDERABAD, , HYDERABAD, TELANGANA - 500013 , Ph: 0 , 0 , 7416710777, Email:
Bank Details : No Details No Details
GSTIN / UIN NA STATE CODE/NAME 36 - Telangana
Bank Reference No. D87348409 Scrutiny No 106175025
Description Sum Insured (Rs)
OPPO MOBILE/A7 4GB(CPH1901)/866901047892353 17,199.00
Additional** Loading @ 0% 0

Additional Discount@ 0% 0
Base Premium 1,565.00
Special Discount 0
Net Premium 1,565.00
Terrorism** Surcharge 0
Stamp Duty
State GST (9%) 141.00
Central GST (9%) 141.00
Final Premium 1,847.00
*** All Premium figures are in Rupee.

Scope of Cover As per the policy wording attached.

Risk Covered As per All Risk Policy wordings.
Special Perils Coverage: Fire and Allied perils;Accidental Damage; Electrical and Mechanical Breakdown; Transit and
any other Fortuitous cause.
Special Exclusions Terrorism and other exclusions as per All Risk Policy wordings.
Subject to Clauses As per All Risk Policy wordings.
Warranties As per All Risk Policy wordings.
Special Conditions Original accessories along with invoice Copy to be submitted in case of a total loss claim.
Comments For claim guidance or assistance and claim related issues; beneficiary can contact Insurer. Please refer
to the policy documents for Claim Contact points.

Cover Category : Mobile Tablet Laptop Camera Projector and Neon sign

Loan Account No : D87348409

Bagic Employee Code : 14353
Bank RM Employee Code : Y

Contact No : 0/0
Email -
Premium Collection Details [Receipt No/Collection No/Amount] Rs. 1847 By BG
*** If Premium paid through Cheque, the Policy is void ab-initio in case of dishonour of Cheque
*** This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in addition to any specific
warranty or condition attached
For & On Behalf of Bajaj Allianz General Insurance Company Ltd.
Stamp
Duty Rs.
0.5
  


Authorized Signatory
Printed , Signed and Executed at Pune
Consolidated Stamp Duty of Rs.0.5/- paid towards Insurance Stamps vide Challan No.
MH007483221201819M Defaced No. 0004477940201819 Order No. CSD/224/2018/4914/18 order
dated 15-Nov-2018 defaced date dated 12-NOV-18 timing 19:55:13 of General Stamp Of-
fice,Mumbai,India.
BAGIC GST No : 36AABCB5730G1ZY | Principal Location : Bajaj Allianz General Insurance Co Ltd, 4th Floor, North East Plaza, Erramanzil
X Roads, Beside BMW Showroom, HYDERABAD - 500082 PH:04033122800 | Services Accounting Code : 997139 - Other non-life insurance
services (excluding reinsurance services). No reverse charge is payable on these services. | Invoice No. : 111290453/1

In case of any claim, please contact our 24 Hour Call centre at 1800-22-5858, 1800-102-5858 (Toll Free) / 91-020-30305858
(chargeable, add area code before this number in case of mobile call) or email us at 'Bagichelp@bajajallianz.co.in'.
106175025/-/10031837/31837022/-
Prefix your area code if you are calling from a Mobile Device.
A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDA] vide
Reg No.113, Corporate Identification Number U66010PN2000PLC015329.
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