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  • Acknowledgement Cum Certificate of Insurance

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    Raju Naidu
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    Shri Salman Raju Naidu has acknowledged receipt of a "Consent-cum-Declaration Form" from United India Insurance Company LTD to join the Pradhan Mantri Suraksha Bima Yojana insurance scheme. The form authorizes automatic debit from Mr. Naidu's savings account to pay insurance premiums under a master policy, certifying coverage subject to eligibility. If the account closes or lacks sufficient balance, membership in the scheme will cease on the due date with no liability for the bank or insurance company. This receipt was system generated and requires no signature.

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    HDFC 12- Insu

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    Shri Salman Raju Naidu has acknowledged receipt of a "Consent-cum-Declaration Form" from United India Insurance Company LTD to join the Pradhan Mantri Suraksha Bima Yojana insurance scheme. The form authorizes automatic debit from Mr. Naidu's savings account to pay insurance premiums under a master policy, certifying coverage subject to eligibility. If the account closes or lacks sufficient balance, membership in the scheme will cease on the due date with no liability for the bank or insurance company. This receipt was system generated and requires no signature.

    Copyright:

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

    Acknowledgement Cum Certificate of Insurance

    Uploaded by

    Raju Naidu
    Shri Salman Raju Naidu has acknowledged receipt of a "Consent-cum-Declaration Form" from United India Insurance Company LTD to join the Pradhan Mantri Suraksha Bima Yojana insurance scheme. The form authorizes automatic debit from Mr. Naidu's savings account to pay insurance premiums under a master policy, certifying coverage subject to eligibility. If the account closes or lacks sufficient balance, membership in the scheme will cease on the due date with no liability for the bank or insurance company. This receipt was system generated and requires no signature.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    ACKNOWLEDGEMENT CUM CERTIFICATE OF INSURANCE

    Reference Number: SN1516338587


    We hereby acknowledge receipt of Consent-cum-Declaration Form from Shri / Smt. SALMAN RAJU NAIDU holding Saving Bank
    Account No 50100087493796 , Aadhar No 464330061360, consenting and authorizing auto-debit from the specified Savings Account
    to join the Pradhan Mantri Suraksha Bima Yojana with United India Insurance Company LTD under Master Policy No.
    0206004215P999990008 certifying coverage as per the Scheme , subject to correctness of information provided regarding eligibility
    and receipt of consideration amount. In case, the above mentioned account is closed or does not have adequate balance to deduct the
    premium on the due date with your Branch Office, you will cease to be a member of this scheme from that date and, no liability will be
    accorded on the Bank or Insurance company.

    This is a system generated receipt and, hence does not require any signature

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