Risk Held Covered Letter

To,
MARINE ELECTRICALS(INDIA)LIMITED
A/c Ayaan Enterprises
Lighthall, E Wing, Hiranandani Business Park
Saki Vihar Road, Chandivali, Mumbai 400072

Date: 22ND May,2020

Re: Group Health Assure (GHA) Insurance

Dear Sir/Madam,

We acknowledge that we have received the payment of INR 23,600 /- vide NEFT UTR No: 022272913211 dated
22/05/2020 towards payment of premium in respect of insurance policy as mentioned herein below.

We confirm holding the risk(s) covered as detailed below:

Name of Insured: MARINE ELECTRICALS(INDIA)LIMITED

Location : A/c Ayaan Enterprises, Lighthall, E Wing, Hiranandani Business Park
Saki Vihar Road, Chandivali, Mumbai 400072
Policy Period: wef 22.05.2020 upto 21.05.2021
Type of Policy: Group Health Assure (GHA) for workers as per the list (Annexure-1)
Premium: Rs 11,800/- ( incl GST)
Terms and Coverage: As per the quote provided, agreed & accepted

The complete terms and conditions of the coverage shall be mentioned in the policy which is under
preparation and shall be sent to you shortly.

Assuring you of our best services always.

Thanking you,

Bharti AXA General Insurance Co Ltd

Coverage under the policy is subject to the realization of the cheque/NEFT

This is a System Generated Document and does not require any signature or stamp*

1Public Registered office address: Bharti AXA General Insurance Co. Ltd., First Floor, Ferns Icon, Survey No. 28, Doddanekundi,
Bangalore – 560037. IRDA Reg. No. 139. For more details on risk factors and terms & conditions, please read the sales brochure carefully
before concluding a sale. Insurance is the subject matter of solicitation. RHL/Premium/TrueTongue/05-17.
 Annexure-1

List of Members added in the GHA insurance

For
MARINE ELECTRICALS(INDIA)LIMITED
A/c Ayaan Enterprises
Sum Insured
Names Designation D.O.B / Age Age
Sr.No. (Rs)
1 Mahesh Nagale Supervisor 26/06/1991 50,000.00 29
2 Sunil Butiya Helper 03-08-1997 50,000.00 23
3 Kishor Butiya Helper 11-09-1996 50,000.00 24
4 Dinesh Kharve Helper 12-10-1994 50,000.00 26
5 Mehul Butiya Helper 01-01-1998 50,000.00 22
6 Amol Jadhav Helper 06-04-1990 50,000.00 30
7 Akash Maragun Helper 15/05/2001 50,000.00 19

2Public Registered office address: Bharti AXA General Insurance Co. Ltd., First Floor, Ferns Icon, Survey No. 28, Doddanekundi,
Bangalore – 560037. IRDA Reg. No. 139. For more details on risk factors and terms & conditions, please read the sales brochure carefully
before concluding a sale. Insurance is the subject matter of solicitation. RHL/Premium/TrueTongue/05-17.