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    Shahid Majeed of D-28 Anand Vihar Railway Colony, Jagatpura, Jaipur is insured for Rs. 200,000 under a personal accident policy with State Bank of India for one year from December 24, 2022. The policy is subject to exclusions and terms specified in Master Policy No. 31802126. Abdul Majeed is the nominee for the policy and is Shahid Majeed's parent. The premium of Rs. 100 inclusive of service tax was paid from SBI account number SB 33239426273.

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    Shahid Majeed of D-28 Anand Vihar Railway Colony, Jagatpura, Jaipur is insured for Rs. 200,000 under a personal accident policy with State Bank of India for one year from December 24, 2022. The policy is subject to exclusions and terms specified in Master Policy No. 31802126. Abdul Majeed is the nominee for the policy and is Shahid Majeed's parent. The premium of Rs. 100 inclusive of service tax was paid from SBI account number SB 33239426273.

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    Project

    Uploaded by

    mykindle
    Shahid Majeed of D-28 Anand Vihar Railway Colony, Jagatpura, Jaipur is insured for Rs. 200,000 under a personal accident policy with State Bank of India for one year from December 24, 2022. The policy is subject to exclusions and terms specified in Master Policy No. 31802126. Abdul Majeed is the nominee for the policy and is Shahid Majeed's parent. The premium of Rs. 100 inclusive of service tax was paid from SBI account number SB 33239426273.

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    of 1

    SHAHID MAJEED

    D-28 ANAND VIHAR RAILAWAY COLONY


    JAGATPURA
    JAIPUR
    Jaipur 302017

    Intermediary Code : 2742 Intermediary Name: State Bank Of India Certificate No. 64358435

    Date : 24-12-2022 This is to certify that

    SHAHID MAJEED

    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. 31802126 for a period of 1 year from 24-Dec-22

    Nominee Abdul Majeed Relationship Parent


    Name: with Nominee:

    SBI Account No.: SB 33239426273


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

    Pankaj Verma
    (Head - Underwriting)

    Version 2.5, Sept-2016

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