पृष्ठांकन /Endorsement- Motor - Goods Carrying Vehicle-Package

Policy Number : 101000312210002414 जारीकर्ता कार्यालय/Issuing Office

व्यवसाय स्त्रोत/ Business Source :
9000133603
विक्रय चैनल का नाम/ Sales Channel Name :
Mr Manoj Kr Kundu
कार्यालय कोड /Office Code : 101000
कार्यालय पता / Office Address : KOLKATA
DIVISION X 24, C.R Avenue, 4th Floor,, -
700012.
State Code: 19 , West Bengal
GSTIN: 19AAACN9967E1Z0
eMail:
विक्रय चैनल संपर्क नम्बर/ Sales Channel
Contact Number : 9830472722
सह दलाल कोड / Co Broker Code:
कस्टमर केयर टॉल फ्री नंबर/Customer Care Toll
Free Number: 1800 345 0330
ईमेल/email:customer.support@nic.co.in

ग्राहक का नाम/Customer Name: M/S ग्राहक आईडी/ Customer ID: 9701333642 पैन/ PAN: AJIPD6381N
ULTRA COOK ENTERPRISE
पता/ Address: VILL- CHICKRAND DURGATALA, P.O- फोन/ Phone:
CHICKRAND, DIST- HOOGLY, City: HOOGHLY - DISTRICT
OTHERS, District: HOOGHLY, State: WEST BENGAL, PIN:
712304. ई-मेल/ E-Mail:
Mobile: 8017913499

Policy Effective from 00:00 hours, on 19/03/2023 to midnight of 18/03/2024

Premium: ` 16,946.00 Total IDV: ` 6,00,000.00
CGST ` 1,044.00
SGST/UTGST ` 1,044.00
IGST ` 0.00 Proposal Number and Date: 8800180315018479 Dt. 20/01/2023
Kerala Flood Cess ` 0.00
Less:GST_TDS ` 0.00
Recoverable Stamp Duty: ` 0.00 Receipt Number: 101000812210018165
Total Amount: ` 19,034.00 Receipt Date: 14/03/2023
(Rupees Nineteen Thousand Thirty Four Only.) Co-Insurance Details: N/A

Endorsement Effective from 12:18 hours,on 28/11/2023 to midnight of 18/03/2024

Additional Premium: ` 0.00 Insured's Request Date: 28/11/2023
CGST ` 0.00
SGST/UTGST ` 0.00
IGST ` 0.00 Endorsement Number: 101000312282100332
Kerala Flood Cess ` 0.00
Less:GST_TDS ` 0.00
Recoverable Stamp Duty: ` 0.00 Endorsement Issue Date: 28/11/2023
Total Amount : ` 0.00 Receipt Number: N/A
(Rupees Zero Only.) Receipt Date: N/A
General / Common Information change
Subject otherwise to the Terms, Exclusion and Conditions of this Policy From 19/03/2023 to 18/03/2024, the name of Financier is changed
from CITY BANK to YES BANK LTD., KOLKATA as per RC.
IN CASE OF DISHONOUR OF THE PREMIUM CHEQUE, THIS DOCUMENT STANDS AUTOMATICALLY CANCELLED 'AB-INITIO'

For and On Behalf Of National Insurance Company Limited

Authorized Signatory

Printed on 28/11/2023 by ID: 12206 Page no: 1

पृष्ठांकन /Endorsement- Motor - Goods Carrying Vehicle-Package
Policy Number : 101000312210002414
व्यवसाय स्त्रोत/ Business Source :
9000133603
विक्रय चैनल का नाम/ Sales Channel Name :
Mr Manoj Kr Kundu
Printed on 28/11/2023 by ID: 12206
जारीकर्ता कार्यालय/Issuing Office
कार्यालय कोड /Office Code : 101000
कार्यालय पता / Office Address : KOLKATA
DIVISION X 24, C.R Avenue, 4th Floor,, -
700012.
State Code: 19 , West Bengal
GSTIN: 19AAACN9967E1Z0
eMail:
विक्रय चैनल संपर्क नम्बर/ Sales Channel
Contact Number : 9830472722
सह दलाल कोड / Co Broker Code:
कस्टमर केयर टॉल फ्री नंबर/Customer Care Toll
Free Number: 1800 345 0330
ईमेल/email:customer.support@nic.co.in
Page no: 2
Printed on 28/11/2023 by ID: 12206 Page no: 3