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Marine Open Import Declaration Policy 2002/I/270323291/00/001

ENDORSEMENT SCHEDULE

We value your relationship with ICICI Lombard. We thank you for preferring us as your marine cargo insurance partner. We
endorse the policy for the following on the basis of your request.

> Endorsement Details


Insured Name : M/S AXIOM ENERGY CONVERSION LTD.
Mailing Address : Plot No.207 4 And 207 5, Ida, Phase Ii, Cherlapally, Medchal Malkajgiri, Telangana,
Hyderabad, Telan, Hyderabad, Telangana Pin­ 500051
Policy Number : 2002/I/270323291/00/000
Period of Insurance : From 18:15 Hours of November 24, 2022 To Midnight November 23, 2023
Endorsement Number : 2002/I/270323291/00/001
Endorsement Effective Time & Date : From 00:00 Hours of August 22, 2023
Date of Issue : August 22, 2023
Issued Office : DELHI GREEN PARK

> Endorsement Wording

Notwithstanding anything to the contrary contained in the policy, it is hereby declared and agreed that the policy stands
amended for the reasons given below :

The sum insured under the above mentioned policy has been increased from Rs. 100000000 to Rs.200000000 by an amount
equal to Rs.100000000

> Premium Computation


*Total Premium : (Rs.) 17,700.00
*Premium value mentioned above is inclusive of taxes applicable

Subject otherwise to the terms, conditions, exclusions, limitations and warranties attached to the within mentioned policy.

GSTIN Reg. No : 07AAACI7904G1ZP


IL GIC GSTIN Address : Fourth Parsavnath Capital Tower Bhai Veer Singh Marg, New
Delhi New Delhi 110001
HSN/SAC code : 997135 ­ GENERAL INSURANCE SERVICES

Authorised Signatory
ICICI Lombard General Insurance Company Ltd.

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