‘THE NEW INDIA ASSURANCE CO. LTD.
(Goverment of india Undertaking)
POLICY SCHEDULE FOR EMPLOYEES COMPENSATION INSURANCE
LUIN NUMBER - IRDAN190P0077100001
nsured’s Name: HARIOM BUILDERS
neue Dota laming OficoDetals
(Customer iD = Poor7ssses (Otto Code =| geyQyDHAn DNISIONAL OFFICE
Adare = PROBATE. GWALAM "Adarose JASHIRWAD COMPLEX. PLOT NO. 34,
[PLOT NO-26 WaRo-316 NR ST-XAVIER twat 128
ISScHOOL TURNING
370201
|ADIPUR ,GUUARAT, 370205
Phone Ne Phone No ooene7a1 762 102896700271
E-malFax rar@yeh om, 7 |EmatFax : |ra.211600@ownda.co.n /
assez258
PANN [Sx Regn. No [AAACNATE5CSTITO
iesTWUN : |BsAECPGS7I003257NA [osTin 7 aaanacnss6scazW
. SAC 527109 (oer ante sranoe severe
Pic Dota
Poiey Number [24600262201000006%8 Business Source Code
[Pedod of Ineurance |: [From: 14103-2023 1200.1 AMTo: _|DevOF +] OMARSINN SAHEBSING JADEJA-
f Sosrdaza 1159369 PM leva BrokedCop. (108342585)
[Agora
|Aggregator/CPSC User
Dato ot = freataraa 1Bancassuranca’ || OHARMENDRASIN A RANA
ee [psaod Porson (NIA1D6337357) AGENT_SITE_31420
2 foe346776).
Pro. Ply no. 7 [anvenoven tor000007S1 Phone No se7or1 106 (955725850
lent Type + [Non-Compete E-mallFax [.sona7i@yeno0.om, 7
Premium) ST) Total @) “otal (€ in words) | Receipt No. & Date
63,560 11.440 75,000 | RUPEES SEVENTY-FIVE |2116008122000002423,
“THOUSAND ONLY Ds 24/02023
Detalls of Employees with monthly wages upto € 15000:
ries % ‘Sub Cat ies No of ‘Cash Total
Cate ss Employee Wages
Detallsof Employees with monthly wages above € 15000:
Categories Sub Categories No of | Cash Total
employee | “Wages
Engineers not otherwise cassiied [nc workaway fom shop or yard exceeding Sts] 90 ‘500000
Hh SRICLEB/UNSKILLED.
Commercial Travellers —Allother eemployees 30 | 10000000)
Messengers(Ofice) end Bil Collectors — Not Using Cycles 15 3000000
Warehouse-Group Il BUILDERSICIVIL WORKS 30 ‘9000000
empLOVEES SHILED/UNSKILLED
Electricty-ight andlor Power Supph ‘All employees inside and out 2 ‘400000
Excavation, Earth Removal and Filing and | Excl se of explosives Basing, Tunneling and 5 ‘900000
feclamation not for Sewers and Roads) “duarrying SKILLED/UNSKILLED
Builders All employees engaged in shop oF Excl, basting and tunnelin 5 1500000
Yard orn construction/demoltion ot = 2
buigings ane other evil construction Ike
Briages et. inc excavation
oan Policy No. :211600962201000006 18Document generated by 22216 at 2402/2023 12:00:08 Hour.
Regd. & Head Office: New India Assurance Bldg, 67 M.G. Road, Fort, Mumbal- 400 001. TOLL FREE No, 1 800 200 1416,
Page tof “THE NEW INDIA ASSURANCE CO. LTD.
(Government of india Undertaking)
Welles where
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