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    This document is a certificate issued by State Bank of India to Ponnala Rajendar certifying that he is insured for Rs. 200,000 under a personal accident policy for 1 year from December 21, 2022. The nominee listed is his spouse, Rajitha, and the certificate references the master policy number and his SBI account number from which a premium of Rs. 100 was received.

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    Sbigeneral health insurance

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    This document is a certificate issued by State Bank of India to Ponnala Rajendar certifying that he is insured for Rs. 200,000 under a personal accident policy for 1 year from December 21, 2022. The nominee listed is his spouse, Rajitha, and the certificate references the master policy number and his SBI account number from which a premium of Rs. 100 was received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    5 views1 page

    Policy

    Uploaded by

    Ayuf Khan
    This document is a certificate issued by State Bank of India to Ponnala Rajendar certifying that he is insured for Rs. 200,000 under a personal accident policy for 1 year from December 21, 2022. The nominee listed is his spouse, Rajitha, and the certificate references the master policy number and his SBI account number from which a premium of Rs. 100 was received.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    PONNALA RAJENDAR

    H NO30-1246 GROUND FLOOR VASANTA


    NILAYAM
    ANANTH NAGAR COLONY VINAYAK NAGAR
    NEREDMET MALKAJGIRI
    Rangareddy 500056

    Intermediary Code : 2742 Intermediary Name: State Bank Of India Certificate No. 62670320

    Date : 21-12-2022 This is to certify that

    PONNALA RAJENDAR

    is insured for an amount of Rs 200000/- , under Personal Accident Policy subject to exclusions, provisions
    and other terms as specified in Master Policy No. 31801839 for a period of 1 year from 21-Dec-22

    Nominee P Rajitha Relationship Spouse


    Name: with Nominee:

    SBI Account No.: SB 20072072096


    Premium received: Rs 100 /- inclusive of Service Tax as applicable

    Pankaj Verma
    (Head - Underwriting)

    Version 2.5, Sept-2016

    Powered by TCPDF (www.tcpdf.org)

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