Bajaj Allianz General Insurance Company Ltd.

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

DUPLICATE COPY
Policy Servicing Office Bajaj Allianz General Insurance Co., Malwal Road, Opp J AND K Bank, Ferozepur City, Ludhiana-
141001 Phone No :01632-503096
Policy No. OG-13-1213-5009-00000107
Product Cattle and Live stock insurance - 3 Years(IRDP Scheme)
Period of Insurance From 12:00:00 31-JAN-13 To 30-JAN-16 Policy Issued On 08-FEB-13
Midnight
Co-Insurance Details Own Share: 100%

Insured Name SHARANJIT KAUR URF VEERPAL KAUR

Insured Address W/O RACHHPAL SINGH, VILL. SOSAN, , MOGA, , MOGA - 142001
Bank Details : No Details No Details
Application No 12130002609 Scrutiny No 23532368
Description Sum Insured (Rs)
Tag no 36727-28, NC 6601 to NC 6604 300000
Additional Loading @ 0%
Additional Discount@ 0%
Base Premium 27850
Special Discount 0
Net Premium 27850
Terrorism Surcharge 0
Environment Fund 0
Stamp Duty
Service Tax 0
Edu. Cess 0
Final Premium 27850
*** All Premium figures are in Rupee.

Scope of Cover As per the policy wording attached.

Risk Covered CATTLE & LIVE STOCK INSURANCE- BUFFALO/COW
Special Perils AS PER STANDARD POLICY WORDINGS AS ATTACHED.
Special Exclusions AS PER STANDARD POLICY WORDINGS AS ATTACHED.
Subject to Clauses H.P.-PADB MOGE
Warranties 1) NOTIFICATION OF CLAIM : TO BE GIVEN WITHIN 24 HOURS OF THE OCCURANCE OF THE IN-
SURED EVENT ON NO :1800225858 , 020-30305858 2) WAITING PERIOD 15 DAYS FROM THE IN-
CEPTION DATE.
Special Conditions AS PER STANDARD POLICY WORDINGS AS ATTACHED.
Comments 1)HEALTH SPECIFICATIONS : AS PER VETERINARY HEALTH CERTIFICATE OR BANK LETTER
ATTACH (2) NO TAG-NO CLAIM (3) CLAIM IS PAYABLE ON BASIS OF MARKET VALUE OR SUM IN-
SURED WHICHEVER IS LESS.
No.of Cattles covered 6
Premium Collection Details [Receipt No/Collection No/Amount] 1213-00030285 / 23532368 / Rs. 27850 ,
*** 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
This is duplicate copy of the document and will not be valid unless QC Verified and Signed/Countersigned by an authorized signatory of Bajaj Allianz General Insurance Co.Ltd.

For & On Behalf of Bajaj Allianz General Insurance Company Ltd.

Authorized Signatory
Printed , Signed and Executed at Pune QC Verified and Signed/Countersigned by
Regd Office : GE Plaza,Airport Road, Yerwada Pune-411006 (India)
Service Tax Reg. No. : AABCB5730G-ST-001

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 'customercare@bajajallianz.co.in'.
23532368/12130002609/0/00000001/-
Prefix your area code if you are calling from a Mobile Device.
Generated by munish kumar057