Pradhan Mantri Suraksha Bima Yojana

Certificate of Insurance (COI)

Pradhan Mantri Suraksha National Insurance Company Limited Master Policy 240600422399999901

Bima Yojana Number

Name of Member POPAT TULSHIRAM MOTE Unique Reference JNS-PMSBY-23-24-

Number (URN) 00034160337-149

Address 341 MOTE GALLI AMALNER, PO AMALNER TAL Mobile Number 8805717218

PATODA, SOLAPUR, BID, MAHARASHTRA, 413207

Aadhar Number - Date of Birth 01/01/1973

Bank / Post office a/c no. 62105948842 Name of Bank/Post State Bank of India

Office

Name of Nominee MANGAL POPAT MOTE Age of Nominee 47 Years

Date of Commencement 13/02/2024 11:31:51 Cover End Date 31/05/2024

of Cover

Sum Assured Rs. 2,00,000* Premium Amount Rs. 20.0

Paid

Annual Renewal Date 1st June of every Year

* Rs. 2 Lakhs is payable on member's death due to accident.

Rs. 2 lakhs is payable on total and irrecoverable loss of both eyes or loss of use of both hands or Signature of authorised official

feet or loss of sight of one eye and loss of use of one hand or foot due to accident of bank / post office

Rs 1 Lakh is payable on total and irrecoverable loss of sight of one eye or loss of use of one hand 13/02/2024
or foot due to accident
11:32:34
The terms and conditions of the scheme are available at https://jansuraksha.in/