This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

POLICY SCHEDULE
Livestock (Sheep / Goat) Insurance

Policy No : 345701/47/2021/4 Prev Policy No :

Cover Note No : Cover Note Date :
Insured Code : 113660563 Issuing Office Code : 345701
Insured's Name : M/S. J N S AGRO (GSTIN: 0) Issue Office Name : BO BHADRAK (GSTIN:
21AAACT0627R3Z9)
Address : PROP. ASIT KUMAR SWAIN, Address : MAIN ROAD, BURMA BYE PASS
AT/PO. OLANGA,
NEAR ADARSH SCHOOL, RANDIA,
BHADRAK ODISHA 756100
BHADRAK
BHADRAK 756135
Tele/Fax/Email : / / 0 / NA Tele/Fax/Email : 06784-250787 / 06784-251235 /
345701@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code : NZ0000000212 AGENCY MANAGER, BO BHADRAK
Agent/Broker : BA0000066573 MR RAJ KISHORE TRIPATHY
Address : AT: SAHAPUR, GABASAHI , PO: BHADRAK, DIST: BHADRAK-
756100,BALASORE,ODISHA,756100
Tel/Fax/Email : 9338582112/9040403782//rajkishoretripathy@yahoo.co.in
Period of Insurance: FROM 15:00 ON 11/09/2020 TO MIDNIGHT OF 10/09/2021

Collection No & Dt : CHQ 4150003161 - 11/09/2020 GST INVOICE NO :2119101941 UIN :0

Gross Premium : 16,758 Service Tax : 3016 Stamp Duty : .5 Total : 19,774

Risk Information Category : NON-SCHEME

S no Name of the Insured Origin Sex Age Ear Tag PTD Sum Insured
Type of Animal Color Breed Description Transit Premium
Purpose Covers

1 ASIT KUMAR SWAIN INDIGENOUS MALE 2 Yr 6 Mth ROBBS674866 N 5,250

GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 199.50
WHITE OTHERS
2 ASIT KUMAR SWAIN INDIGENOUS MALE 2 Yr 6 Mth ROBBS674853 N 5,250
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 199.50
WHITE OTHERS
3 ASIT KUMAR SWAIN INDIGENOUS MALE 2 Yr 6 Mth ROBBS674873 N 5,250
GOAT / WHITE / CAPSINE/ DESI WHITE / 199.50
BROWN OTHERS BROWN
4 ASIT KUMAR SWAIN INDIGENOUS MALE 2 Yr 6 Mth ROBBS674924 N 5,250
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 199.50
BLACK OTHERS
5 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674869 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 159.60
WHITE OTHERS
6 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674855 N 4,200

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 1 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

6 GOAT / FEMALE CAPSINE/ DESI WHITE 159.60

WHITE OTHERS
7 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674875 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 159.60
WHITE OTHERS
8 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674862 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 159.60
WHITE OTHERS
9 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674858 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
10 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674861 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
BLACK OTHERS BLACK
11 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674874 N 4,200
GOAT / BLACK CAPSINE/ DESI WHITE STRIP 159.60
OTHERS ON
FOREHEAD
12 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674859 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
13 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674857 N 4,200
GOAT / GREY / CAPSINE/ DESI GREY / BLACK 159.60
BLACK OTHERS
14 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674851 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
15 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674864 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
16 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674860 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
17 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674852 N 4,200
GOAT / BLACK CAPSINE/ DESI WHITE STRIP 159.60
OTHERS ON
FOREHEAD
18 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674870 N 4,200
GOAT / BROWN/ CAPSINE/ DESI BROWN / 159.60
BLACK OTHERS BLACK
19 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674871 N 4,200
GOAT / BROWN CAPSINE/ DESI BLACK PATCH 159.60
OTHERS
20 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674868 N 4,200

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 2 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

20 GOAT / FEMALE CAPSINE/ DESI BLACK PATCH 159.60

WHITE OTHERS
21 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674872 N 4,200
GOAT / WHITE CAPSINE/ DESI BLACK PATCH 159.60
OTHERS
22 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674867 N 4,200
GOAT / BROWN CAPSINE/ DESI WHITE PATCH 159.60
OTHERS
23 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674863 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
24 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674856 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
25 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674865 N 4,200
GOAT / BLACK CAPSINE/ DESI WHITE PATCH 159.60
OTHERS
26 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674854 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
27 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674893 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
28 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674897 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
29 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674833 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
30 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674884 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
31 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674880 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
32 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674890 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
33 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS647900 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
34 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674894 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 3 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

34 FEMALE OTHERS BLACK 159.60

BLACK
35 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674886 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
36 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674878 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
37 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674879 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
38 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674888 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
39 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674881 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60
BLACK OTHERS
40 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674898 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / 159.60
BROWN OTHERS BROWN
41 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674896 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / 159.60
BROWN OTHERS BROWN
42 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674885 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / 159.60
BROWN/ OTHERS BROWN/
BLACK BLACK
43 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674882 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
44 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674891 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
45 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674876 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
46 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674892 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
47 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674877 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
48 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674889 N 4,200

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 4 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

48 GOAT / FEMALE CAPSINE/ DESI BROWN 159.60

BROWN OTHERS
49 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674899 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
50 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674895 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
51 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674913 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60
BLACK OTHERS
52 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674902 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
53 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674844 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60
BLACK OTHERS
54 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674833 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
55 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674887 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
56 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674903 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
57 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674922 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
58 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674911 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
59 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674901 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
60 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674918 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
WHITE OTHERS WHITE
61 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674915 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
62 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674910 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 5 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

62 FEMALE OTHERS BROWN / 159.60

BROWN / WHITE
WHITE
63 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674907 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
BLACK OTHERS BLACK
64 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674836 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
65 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674839 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
66 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674937 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
67 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674931 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
68 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674933 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
69 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674934 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
70 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674944 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
71 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674926 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 159.60
WHITE OTHERS
72 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674949 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
WHITE OTHERS WHITE
73 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674945 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
74 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674943 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
75 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674929 N 4,200
GOAT / BLACK / CAPSINE/ DESI BLACK / WHITE 159.60
WHITE OTHERS
76 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674928 N 4,200

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 6 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

76 GOAT / FEMALE CAPSINE/ DESI BLACK 159.60

BLACK OTHERS
77 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674941 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
78 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674947 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
WHITE OTHERS WHITE
79 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674930 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
WHITE OTHERS WHITE
80 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674908 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / 159.60
BROWN OTHERS BROWN
81 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674914 N 4,200
GOAT / BROWN / CAPSINE/ DESI BROWN / 159.60
BLACK OTHERS BLACK
82 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674921 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
83 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674917 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
84 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674904 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
85 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674925 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
86 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674923 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
87 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674920 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60
BLACK OTHERS
88 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 0 Mth ROBBS674906 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
89 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674905 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
90 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674919 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 7 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

90 FEMALE OTHERS BLACK 159.60

BLACK
91 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674912 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
92 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674916 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
93 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674909 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
94 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674940 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
95 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674939 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
96 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674932 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
97 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674936 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60
BLACK OTHERS
98 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674946 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
99 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674935 N 4,200
GOAT / BROWN CAPSINE/ DESI BROWN 159.60
OTHERS
100 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674938 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
101 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674948 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
102 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674942 N 4,200
GOAT / WHITE CAPSINE/ DESI WHITE 159.60
OTHERS
103 ASIT KUMAR SWAIN INDIGENOUS FEMALE 1 Yr 6 Mth ROBBS674950 N 4,200
GOAT / BLACK CAPSINE/ DESI BLACK 159.60
OTHERS
104 ASIT KUMAR SWAIN INDIGENOUS FEMALE 2 Yr 0 Mth ROBBS674936 N 4,200
GOAT / WHITE / CAPSINE/ DESI WHITE / BLACK 159.60

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 8 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

104 FEMALE OTHERS WHITE / BLACK 159.60

WHITE /
BLACK
SCHEDULE OF PREMIUM

Description Sum Insured Premium

Basic Cover 4,41,000 17,640.00

LESS :Group Discount 882.00
TOTAL PREMIUM 16,758.00
STAMP DUTY 0.50
ADD :CGST 1,508.00
ADD :SGST 1,508.00
TOTAL AMOUNT 19,774.00

Total Sum Insured In Words : Indian Rupees Four Lakhs Forty-One Thousand Only
Total Premium In Words : Indian Rupees Nineteen Thousand Seven Hundred Seventy-Four Only

Bank Names are as per the list attached: -

The Insurance under this policy, in addition to the following special condition(s) is subject to general terms, conditions, clauses,
warranties and also specifically applicable to Sheep / Goat Insurance as specified in the Livestock Insurance Policy attached
hereto . This Schedule and Policy are to be read together

In the event of a claim under the policy exceeding Rs.1lac or a claim for refund of premium exceeding Rs1lac,the insured will
comply with the provisions of the AML policy of the Company.The AML policy is available in all our operaing Offices as well as
company's website.
No Tag No Claim
Waiting Period Not Applicable If Policy Is Renewed Without Break In Insurance
Claim Would Not Be Admissible In The Event Of: 1. Theft, Clandestine Sale And Missing Of Animal. 2. Insured Not
Surrendering Eartag In Respect Of Dead Animal To The Company

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 9 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
 This Document is Digitally Signed

Signer: GEETHA SANTHASEELAN

Date: Wed, Sep 22, 2021 14:11:06 IST
Location: NOIDA
Reason: Signing Policy for OICL

Attached to and forming part of policy number 345701/47/2021/4

Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policy shall
be void abinitio (from inception).

In witness whereof the undersigned being authorised by and on behalf of the company has/have herein to set his/their hands at
BO BHADRAK (GSTIN: 21AAACT0627R3Z9) on 11TH DAY OF SEPTEMBER 2020

For and on behalf of

The Oriental Insurance Company Limited
Entered By : Mr. Ranjan Kumar Behera
Examined By : TAPAN KUMAR DASH

Authorised Signatory

Place : BHADRAK For and on behalf of

Date : 11/09/2020 The Oriental Insurance Company Limited

In case of any query regarding the Policy please call Toll

Free No. 1800 11 8485 and 011 33208485. Authorised Signatory

CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees Page 10 of 10
IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in