OBAsA3\ANianz @ BAJAJ ALLANZ GENERAL ISURANCE COMPANY LTD. Policy Serving Office 2 Poley Number Product Period Of inssxence 5 Poly sued on Cover note no. Insured Name Zone A Insured Address ‘Customer 1D Premium Payer id 7028 ‘App cation No. ReferenceNo: nu Poity Status SSUED Coinsurance Detai: NA Registration No] Make HR tar] _Hyunda Total Own damage Premium 0 Base Third Party Liabilty 750 Tota Primm 2850 PACover for Owner Orver of Rs. 80000 100 Special Dscount (© Terai Add Premium 850 Net Premium 2850 Sevice Tax 286 Edu Coss 47 Final Premium Rs. 3383, y = . ‘Sieject to IT Encorsomont Nos: 22 28. & Polcy wordings attached neream Broker Code 10039303 Channel Name : MIL Euuail - Contact No: 0/9674409999 Scam Eran we reagents rere ERE LAs poe Bent SOO eA NS ES I FaNG Damage Betas: = taey morn mee) tet nit ntytaeNes tare Poors fim ome es Aso God - = cae. rsaca aes otha Snechantet sre Oty p68 Rit ane AE Regd OMce GE Para Ago! Rai, Yeranacia Pune THESTH ES tots omen cea PEAS No, AABCBS7300 ST-O0t