Indiabulls loan insurance company limited INDIABULLS PVT LTD LOAN INSURANCE POLICY Reg no. INZ000007534 INSURANCE Proposal Form ‘cogtact.us fo@indiabullslimited.com GUDELRES OR COMPLETION OFTHEFORI Pastas us yey, When etn esc pessrencle tha smnstcagete 2 sano cet Unt oe aie tse ee cst osu teas sense cesta eka saa sede 13 Ther shallncere weston of oes neve a ntuer rare ron sepesett,-deerpnrana- Odo any rl pal nth pts ‘erp turn orien and cami earns, cy rltlnfrmaen hang booty a pepsi oy ewan erst 4 Kh cons be Companys Os Ags et + Mandatory Felt Danese TO wen) amt] ae ‘Sas Choma pe 1 oes 1 tomy E71 et Sono Parser ote? 1 Maro ths Prone Tefetotet T ets fopo TT 2. DawotBam LY] 9 eiuctns cuttin [TT TT 4, Maal Sts oO 5, Oomupstion CITTTTTTrrirrtTtt ttt) 6. aowess umerropocr rouse. CT TT ETEETEEE LT) wo [ ewig = ET TT EET EET ET) vy [ swt [TTTTETTETTTET Trt cy CLEEEELEL EE EE) tistie [ ew [ET TTEETE ELE LL] meee [ 1 Gamat ts rot LL TTTTTTTITT Ty enw [TTT TTT ETtTT Trt rrr rrr rer? t tt tt) 6 Panto ee comma [_] Ys [] to 10. ssrmson TEAPPUCHLE 4, Leavtonre LL] 2 Pri ctinsweneo = fom TOTO Te Tey Ty Ty Tv] » (oto sa PT) 8. Plas poe cae oct CO sae [Ly cats. Ee [erotic arpis Fy cores nnn eet compe (Eerie ie age 1 saterptoe sorerptyatPercas crpeytssngls Ounetie Fir Pose nt sis Dy owes poise (TEE 4 Mare ft Norn fedaccrsnp oan te toowe $= _T T TT TT TT TTT TTT ty oper onine [TO Te [eT Ty Ty Tr] 5 Arye cele une ob Popa? a : you ta soe a robin Qa O- ae te opps ‘oir Fakonsip wan Popo Fikeo eat Second co apnom eoappleats ao wend pt ora hy ao ropred copr y sar a e-sso es? : se psy a a a Ow On 7. ayaa have any Ciel es Pec ele Bey ran he oe propos ow, oO. oO. sl ht ag tna? Ye, hy proietlwigwormstin i fe TTLTETTtTttTittrttititt Mame the ser EEE BEET Wh Poly urbe COLETTI TTT Teer Ty teenie TT TTT Tt) Mi beta ates fen COT OT TET) wT] vsmnwes CT TT TTT) vi) ny cass pci Cains pp tel i) Ohirs nase ray ‘i ow yousvrbaon end ay Hah tea ess py any narra carga? ws te se, ph proce als obese = o- Corporate & RegistdnethGFAcetritr/d aicemnane Hladeniarmarkplenannsretba MaaHyp Rien Ratka 560025 120 asin No 20, Daa 2078 | Pt, acer 206 weaisbenpeotten CO] elim] sot Tove set ome re nage imine C1 TT?TTt1t1111111111111111111 pamcrtinrrmcttome CTT TT?t?rtttrtttttlitl11ttty ago Tp [spats] orate EJ nce] ate ‘oom kos, & watewypeotesam — EJ [LJ moervace [_)Serctaur mace 7 andro Sunnane +t Peni Tre J ens 12 Ea Men acetal Co ne ean prea [aca 7 Tea Threw 1 eeu Gea a i once par eof i Set Wh Oona ‘a ve CE Ga ya CRE SS PTE a7 Insoranc co? es oie sas the sare Tg Kane tha inp wth or Ran ane yan OARGURANCE POUCY emerson [_] Physialfaret—(_] feat doce 25 8 who pila {hos your lesan post erties Foe CivsotteteMengsret td [-] ODS. isurace Reps Ud [7] oy src Reps Ls ] CAMS peste Svs Dita «insurance Account 8 Rois Wy NCH ake treaty TT TTT TTT CTT ernie) “peter il ws A (Dah Parset Tel De) as th Sum nau en oat ain vant Ss tea simp anc sure ay ey von a ee Fane rat pelen igor en Sono Tape ais seta apg rors Get' saci sot Telos Prana eaa cline RU Pease aw yer Cheque (epee enh) te aac! 8 Gene sun Canny Lite (hata ta compere [TT [TT] soon CI ET TEE E ELE) 3 » GREET) Bank Rare J} tranen [ ] Oankaccowenos CTT TT TTT ETTTET CCITT IT J Jeccoo (TTTTITTTTtT) OTT {Wehaidi ven lon besos dn ean bo pups oat ay at nese Pant ony KREation eye ea pao oa name mom soa nda on assy Canty ansEsES “yet Ongar: Cretan Gna ats Pan Cova Ogee oobi Tas Pau orci sito Coepav oe 25 Corns Ree Mees tao 1 ace ono 8 ocak pn ea oi ae anetano espa Nt kT EAS FT ‘il ete canes ye oy mtn npr shes Bey, soy psn eter tee conan py ey as Eh ne ‘eyecandy wn ips psp atelier (2 BrePERSO Nak EULTICOMPLYNG WITH THEPROVIONS CFTHSSECTONSHALLB PUUSHABLEWTH FE RHCHRAYEXTENDTO TEULARHUPEES EE a A a ea ee St te ooo om Sopepica o abe ices icles Cae ea seen te Picea Fal ar ea eae Se er rete es tae le ce a ae or ede va Li ec hee Eee aia Sepia cea tease ti ia sae ae ns adn renee! tatty men ster eri eeatt Q Se eee Soe gna aren wae a ‘itch cere le Seren Sgt elaeeiea neta USES enEn crea oes founder ch oars acum Sey cient ce ear Cs Tne ee cai on cee ea oven pen a ene es cipumaionomencsedre ny was pian eicrems creas ieee eerie cele htnee adh garter nner og ed Sceeaigaccn Saeed Sect owe STE DE DT) Pc ‘Sura Pesos NE En cl tee Propssris acre sung silly ue aichuins resid robe be Prpasrhassineinveacurkges) (hie Torta eran Depry eye rer api ds ah ees he oso hte tyme res on We ey sti he ube ety eps ae Fosletinboceatopbatrsen sony eae | fatrrecttowites (lta ites slant (3), a esiog et ry oxy Ha are otonv anes cts oe Propo Far znde be Soames hea tal tesrencpolay Ton SCH ‘eran Cay LETS PEPER Prana anche euch sr | dane whol hea sacha boven andcontabrbe ken nbae ‘Sturt Wes. at sll Placa ‘SgetwaThun rps of he Prose Created with ScanWritr. To remove this watermark please use the upgrade options.