(ory ae tia ech Bt: ‘ Thetarestanomaton gr/tatdby ne un i cd selon ora covet wd carol 1. Theetteotapwsosheveg on niet he propery nrxpectl whic ac epee ich irs being mae x pre pe roan {othe policy. Furthermore, save and excopt as provided or disclosed in this claim for amr en he eee aetaee ine ame tes redo acne chm mn commer ans a ee wage eh omarion veh roments threes &, tenant nae rceig cin chore sion bret dc ‘saat vainabe onaedie ttn iguss oot eee noeretinyereboare, pea peeenariares a «Tham tin her gtd rar no eb ered wan m gwen iy Cony Jompany reserves th iit to process or reject ot require furthar/additionalintormetia sasha ara re OOOO 0000) | owe: [OI i Th eon i are CEPR aed (Subrssin of docurons tan tae ay ahr oan oat ony wey shape or, py expan suggest arson of fbb th corp) 'A) Would you like to opt fr Electronic Fund Transfer as mode of payment? Ayyes(_] )No[_] B) Ityes, kindly provide the below mentioned details: + Payee Name (ox pertankrcers): I Oo L + Payeo Account No: I I (a + Type of Account: Savings [] Current Others ipecys 1 gp COL ia + Name ofthe Bank : JAI I 1 bo + ranch ame: (] io OO is ‘Address of tho Bank :[_] Oo J [ OOG0o! IGE ‘+ IFSC Code No. of the Bank: + MICR Code No. ofthe Bank: ‘+ Permanent Account Number (PAN) of Paye Torms and Conditions for Payments through RTGS/NEFT 1. The details provided by the Customers inthe Mandate Form shall be consieredas inal and ICICI Lambard Ganeral Insurance Company Ld. shel notbaresponstla forcross verification of any ofthe details provided therein. 2. The ATGS/NEFT tacit shall bo effectvefor the respective Customers) within 18 days ofthe receiptof the Mandate Form by CIC Lombard General nsurance Company Lid and/or within such period as maybe reasonably required by CII LombardGenealisurance Company id toastivate the RTGS/ NET city. 3, The Customer agrees that under the RTGS/NEFTfecity there maybe ari of nov-paymentin the Account of Customer on the day of the ret of Payments due to Change inthe applicable reqltions pertaining vo PTGS/ NEFT faaity or due o any athe reasons without ary fautVinactlon aire on arto Lombard Gener Insurance Company or any factor beyond the contro of CIC! Lombard General insurance Company Limited 4. TheCustomer agrees tinder, without delay or demur, ICICI Lombard General surance Company Lid. andits agents and keep CCl Lombard Generel insurance Company Lid. ond ts ogentindermfio harmless ataltimes rom and aginst any andl aims damages, losses, oss, and expenses nciing sma s {eas} whch ICI Lombard General insurance Company id, may suffer arin, decd or indirect, rig from arin conection with, manus other ‘hogs, either ofthe aforesaid reasons statedin above clauses. 5. _elCILombard General Insurance Company Lid. may sub-contractard employ agents a cary out any of ts obligations under the RTGS/ NET eit, Te Castor tray donno emit the uso of RTGS/ NET city by giving minim of 15 days pr writen notice to CC Lamba Gener ese Papa Ltd. aa er rTratos orl Lmbord willbe to date ofreceipt of sich notice byl Lombard, The notice of such termination shouldbe given tI Lars lo arenrorate address end be adressed at CCl Lombard GC Li, Ic Lambard House (ld Teta Pree Bulg), 414, Veer Saverer Maru Near Sidi Vinayak Temple, Prabhadevi, Mumbai- 400025 ‘Acanfraton ofthe receipt of emination notice given by the Customer willbe ackxowedgod rough a confirmation ltr by [Cl Lombard Gna race Ein Li lana case ean the Customer constuBhis termination nace as effective unless aconfraton hasbeen rovided by Il Lombard othe Customer stating the date of receipt of such communication by the Customer,