Schedule and Wordings

CERTIFICATE OF INSURANCE
GADGET INSURANCE POLICY

WHEREAS the Insured designated in the Certificate Of Insurance, by way of Enrolment Form which shall be the basis of this
contract and shall be deemed to be incorporated herein, has applied to ICICI Lombard General Insurance Company Limited
(hereinafter called “the Company”) for the insurance hereinafter set forth and paid appropriate premium for the period as
specified in the Schedule.
Branch Code: MUMBAI - BKC (B) Intermediary Code: 202147527145

Policy Number: 4001/G/290911114/00/000
Certificate No: 4001/G/290911114/00/000
Unique Group Admin No: 4001/G/HDFC NEW/250594999/00/001
Name of the Policyholder: HDFC BANK LTD
Name of the Insured: SAURABH BAGCHI
Address: SOMALAY PRASAD Bagchi B762-1, BAGHARA VARANASI, UTTAR PRADESH, VARANASI - 221001
Registered Mobile Number: 8601542312
Alternative Mobile Number:
Period of Insurance: 09-May-2023 To mid-night on 08-May-2024
INSURED GADGET DETAILS
S.No Insured Gadget (as per Make / Model Purchase IMEI/Unique Sum Insured(`) Premium(`)
proposal form) date Identification Number
1 MOBILE APPLE /IPHONE 14 09-May-2023 355794425112678 74900 7399
128GB BLUE
COVERAGE
Base Cover Coverage opted (Y/N) Sum Insured(` ) Geographical Limit

Accidental Damage Including liquid Damage Y 74900 India
Endorsements’ Optional benefits
Clause I Accidental Damage N NA India
Clause II Screen Damage Including N NA India
Liquid Ingress
Clause II Screen Damage N NA India
Excluding Liquid Ingress
Optional Cover I Theft Cover N NA India
Optional Cover II Extended Warranty N NA India
Optional Cover Sim Blockage N NA India
III(Assistance
Services)
Optional Cover Replacement Handsets N NA India
III(Assistance
Services)
Optional Cover Pickup and Drop Y 74900 India
III(Assistance Services
Services)
Optional Cover Anti-Virus Assistance N NA India
III(Assistance
Services)
DEPRECIATION RATE APPLICABLE TO THE INSURED GADGET
Age of Insured Gadget % of Purchase Value of Insured Gadget

DURATION FROM 181 DURATION TO 365 35
ICICI Lombard General Insurance Company Limited

IRDA Reg. No. 115 CIN: L67200MH2000PLC129408 Gadget Insurance Policy UIN - IRDAN115RP0022V01202122
Mailing Address: Registered Office: Toll free no.: 1800 2666
ICICI Lombard General Insurance Company Limited, ICICI Lombard House, 414 Veer Savarkar Alternate No.: +918655 222 666 (chargeable)
Interface Building No.: 16, 601 / 602, 6th Floor, New Marg, Near Siddhi Vinayak Temple, Email: customersupport@icicilombard.com
Link Road, Malad (West), Mumbai - 400 064. Prabhadevi, Mumbai - 400 025. Website: www.icicilombard.com 1/9
EXCESS
Insured Gadget Basis of Claim Settlement Minimum Amount Excess Percentage (%)
MOBILE Claim 1000.0 0.0
Policy wordings and Endorsement wordings attached and are forming part of this Certificate of Insurance
Premium Details
Net Premium (` ) Rs.6270

GST Rs.1129
Total Premium (` ) Rs.7399
Total Premium in WordsSeven Thousand Three Hundred Ninety Nine
"ICICI Lombard General Insurance Company Limited
In witness whereof the undersigned acting on behalf and under the authority of the Company has hereunder set his
hand at MUMBAI - BKC (B) on this 12 day of 05/2023
For ICICI Lombard General Insurance Company Limited Authorized Signatory

Definitions “Schedule” means Schedule attached to and forming part
of this Policy or Certificate of Insurance, specifying Your
“Authorized Service Centre” means repair centres details and the details of Your Gadget, the Sum Insured, the
authorized by Us to carry out repairs on Your Gadget Period of Insurance, Coverage and the limits to which
benefits under the Policy are subject to.
“Beyond Economic Repair” means your asset will be
deemed a total loss when we consider it uneconomical to “Sum Insured” means the sum as specified in the
repair the Gadget or when the cost of repair exceeds the Schedule to this Policy or Certificate of Insurance, against
sum assured less applicable depreciation as specified in the Your name, which represents Our maximum liability for any
policy schedule or all claims under this Policy during the Period of Insurance
against the respective benefit(s) for which the sum is
“Insured Gadget” shall mean any electronic, electrical or mentioned in the Schedule to this Policy.
mechanical device, such as mobile phones (all types of
phones including ordinary, feature phone and smartphones), Terms and Conditions
tablets & laptops (all types of tablets, phablets, laptops and
notebooks), wearable gadgets (all electronic devices which Base Cover: Accidental Damage-Liquid Damage Cover
are wearable including watches, smart watches and fitness This Section covers all types of accidental damage
bands) and other physical assets (all types of desktops, including, but not limited to, impact damage, damage due to
still cameras, video cameras and other devices used for unintentional dropping, damage due to liquid ingress, screen
communication or projection or entertainment) meant for damage due to any accident, or any other fortuitous event.
personal use and as described in the policy schedule.
CLAUSE 1 - REDUCTION OF SCOPE OF COVER:
"OEM" Original Equipment Manufacturer means the EXCLUSION OF LIQUID DAMAGE
manufacturer or owner of the brand for selling the Gadget The coverage will exclude any sort of damage due to liquid
who has provided the standard manufacturer’s warranty as ingress.
defined and specified in the warranty manual.
CLAUSE 2 - RESTRICTION OF INSURED ASSET TO
“Period of Insurance” means the period as stated in the PROVIDE COVER ONLY FOR SCREEN DAMAGE
Schedule or the Certificate of Insurance, from the date on
This cover will provide coverage for only Screen Damage of
which coverage begins to the date on which coverage ends.
Insured’s Gadget. No other part shall be covered
If the Policy or Certificate of Insurance is cancelled mid-
A. Restriction of Insured asset to provide cover only for
term during the Period of Insurance, the coverage end date
Screen damage, (including liquid ingress)
gets revised accordingly.
This cover will provide coverage for only Screen Damage of
Insured’s Gadget, including due to liquid ingress.
"Policy" means this document of Policy, describing the
B. Restriction of Insured asset to provide cover only for
terms and conditions of this contract of insurance including Screen damage, (excluding liquid ingress)
the Company’s covering letter to You if any, the Certificate
of Insurance if any, the Schedule attached to and forming This cover will provide coverage for only Screen Damage of
part of this Policy, Your Proposal form and any applicable Insured’s Gadget, excluding any damage which may be due
endorsement attaching to and forming part thereof either at to liquid ingress
inception or during the Period of Insurance. The Policy
contains detailas of the scope and extent of cover available OPTIONAL COVER I THEFT COVER
to Your Gadget, the exclusions from the scope of cover Add on coverage to base cover to insure from losses
and the terms and conditions of the issue of the Policy. arising out of theft of Gadget.
“Proposal” means the application forming a part of this OPTIONAL COVER II EXTENDED WARRANTY
Policy that You sign for this insurance and which contains Coverage under manufacturer’s warranty is extended for
information provided by You regarding Your Asset or which the defined period.
is given to Us on Your behalf.
OPTIONAL COVER III ASSISTANCE SERVICES
“Reinstatement Value means the cost of replacing or Sim Blockage
reinstating property of the similar kind or type but not This assistance facilitates the process of sim blockage
superior to or more extensive than Your Asset when new. through coordination with telecom service provider, at Your
request.
Replacement Device

This assistance service assists by providing a replacement 11) Loss or damage caused by incorrect storage, poor
handset to You during the time Your Gadget is getting maintenance, negligence, incorrect installation,
repaired. incorrect set-up by You or by the person You entrusted
the Insured Gadget with.
Pickup and Drop Service 12) Aesthetic defects such as scratches on painted
This assistance service assists by providing pickup and
polished or enamelled surfaces, or any other defects
drop services of Your damaged Gadget to the Authorized
which do not stop the normal functioning of the Insured
Service Centre and back to You.
Gadget.
13) Loss or damage for which the manufacturer, dealer or
Anti-Virus
supplier of Your Gadget is responsible either by law or
This assistance service assists by providing anti-virus and
under contract.
malware protection services to help detect and remove
malware and other harmful components from Your Gadget.
14) Consequential loss or liability of any kind or
These services would be provided at the empaneled service
description, including contractual liabilities comprising
providers.
of penalties of delay or detention or in connection with
Exclusions guarantees of performance or efficiency.
15) War or war like operations (whether war be declared or
We will not indemnify You in respect of loss, damage or
liability directly caused by or arising out of or aggravated not), cyber-attacks, civil commotion, confiscation,
by - requisition or destruction or damage by order of any
1) Claim on Insured Gadget during hire or loan of the Government or by any public, municipal or local
Insured Gadget to a third party, other than Your authority.
employees, siblings, spouse, children, parents or
Special Conditions
parents-in-law.
2) Loss of or Damage to the Insured Gadget that is
1. Limitation on number of claims:
registered in the name of a Corporate Entity, unless a
The maximum number of claims permitted in the policy is
nominee has been appointed by them as a bonafide
as per Schedule. In case of multiple claims under the
user
policy, Our maximum liability inclusive of all claims will be
3) Policy shall be non-transferable in case of sale of Your
limited up to the Sum Insured.
Gadget or if the ownership of Your Gadget is
transferred except to relationships as specified in 2. Right to damaged Gadget
exclusion 1 above, unless specified in Schedule. In the event of a claim wherein the Insured Gadget is lost or
4) Gadgets purchased from outside India, unless damaged beyond economic repair, after admission of
specifically covered in the Schedule liability and settlement of claim, We will be entitled to take
5) Loss or damage to battery and other accessories and keep possession of the damaged / recovered Gadget
unless they are part of the original Insured Gadget and and to deal with the salvage in a reasonable manner.
attached to the Insured Gadget during the loss or
damage. 3. Payment of differential amount for repair
6) Any loss of Software, excluding Operating System We will arrange for repair of the damaged Insured Gadget at
Software, whether it affects the working of Insured our Authorised Service Centres, subject to payment of the
Gadget or not Excess as specified in the Schedule and payment of the
7) Loss of Insured Gadget resulting from or caused by differential amount between the estimated repair cost and
theft, mysterious disappearance or unexplained approved claim amount by You to the Authorized Service
reasons, unless specifically covered. Centre.
8) Any loss or damage arising out of any Electrical or
Mechanical breakdown, caused by, but not limited to,
short circuit, voltage fluctuation, faulty charging, faulty 4. Cancellation:
battery, unless specifically covered. The Policy may be cancelled by or on behalf of Us by
9) Improper handling, dismantling, fitting adjustment, giving You at least 15 days written notice and in such event
repair alteration or modification not approved by the we shall refund to You a pro rata premium for the unexpired
makers/manufacturers and / or the agents of Policy period. For the avoidance of doubt reference to the
makers/manufacturers. time cover is provided. For annual or short-term policies,
10) Loss or damage as a direct consequence of wear and the premium to be retained by Us shall be calculated using
tear or of gradual deterioration including but not limited the following scale:
to atmospheric conditions.

Proportion of policy 8. Contribution : If at the time of happening of any loss
Premium to be retained
period expired or damage covered by this Policy there shall be existing
Up to 10% 15% of policy premium any other insurance of any nature whatsoever covering
From 10% to 25% 35% of policy premium the same, whether effected by You or not, then the
From 25% to 50% 60% of policy premium Company shall not be liable to pay or contribute more
Above 50% No refund applicable than its ratable proportion of any loss or damage
General Conditions
9. Subrogation : You and any claimant under this Policy
1. Notice : Every notice and communication to the shall at the expense of the Company do or concur in
Company required by this Policy shall be in either in doing or permit to be done all such acts and things that
writing or a call to the specified number as in the may be necessary or reasonably required by the
schedule or an email to a specified email as in schedule. Company for the purpose of enforcing any rights and
many through which this insurance is affected or to any remedies or obtaining relief or indemnity from other
service provider as stated on the claim form parties to which the Company shall be or would become
entitled or subrogated upon the Company paying for or
2. Duty of Disclosure: This Policy shall be void and all making good any loss or damage under this Policy
premium paid hereon shall be forfeited to the Company whether such acts and things shall be or become
in the event of misrepresentation, misdescription or necessary or required before or after Your
nondisclosure of any material fact. indemnification by the Company.
3. Reasonable Care: You shall take all reasonable steps 10. Fraud: If any claim under this Policy shall be in any
to safeguard the property insured against accident, loss respect fraudulent or if any fraudulent means or device
or damage. are used by You or any one acting on Your behalf to
obtain any benefit under this Policy, all benefits and
4. Alteration of Risk: All cover under this Policy shall rights under the Policy shall be forfeited.
cease if any alteration be made ( to the property
/Insured Gadget) whereby the risk of damage or injury is 11. Arbitration: If any dispute or difference shall arise as
increased until such alteration be agreed to by the to the quantum to be paid under this Policy (liability
Company in writing being otherwise admitted) such difference shall
independently of all other questions be referred to the
5. Statutory Compliance: You shall comply with all decision of a sole arbitrator to be appointed in writing by
statutory and other regulations. You shall observe all the parties thereto or if they cannot agree upon a single
manufacturers’ instructions concerning: arbitrator within 30 days of any party invoking
a. the inspection of Insured Gadget, arbitration, the same shall be referred to a panel of three
b. the safety of persons or property. arbitrators, comprising of two arbitrators, one to be
appointed by each of the parties to the
6. Indemnity: The Company may at its option reinstate, dispute/difference and the third arbitrator to be appointed
replace or repair the property or premises lost or by such two arbitrators and arbitration shall be
damaged or any part thereof instead of paying the conducted under and inaccordance with the provisions of
amount of loss or damage or may join with any other the Arbitration and Conciliation Act, 1996.
Insurer in so doing, but The Company shall not be bound
to reinstate exactly or completely but only as It is clearly agreed and understood that no dispute or
circumstances permit and in reasonably sufficient difference shall be preferable to arbitration as herein
manner and in no case shall the Company be bound to before provided, if the Company has disputed or not
expend more in reinstatement than it would have cost to accepted liability under or in respect of this Policy.
reinstate such property as it was at the time of the
occurrence of such loss or damage not more than the It is hereby expressly stipulated and declared that it
sum insured thereon. shall be a condition precedent to any right of action or
suit upon this Policy that the award by such arbitrator /
7. Average: If Replacement Value of Insured Gadget shall arbitrators of the amount of the loss or damage shall be
at the time of any loss or damage be collectively of first obtained.
greater value than the Sum Insured thereon, then You
shall be considered as being Your own insurer for the
difference, and shall bear a ratable proportion of the loss
or damage accordingly. Every item, if more than one, in
the Policy, shall be separately subject to this condition.

12. Limitation: The Company agrees and undertakes to 3 Extend all assistance and cooperation to the surveyor
indemnify You against any loss of or damage to appointed by Us for the purpose of survey and
property or any part thereof suffered by You not assessment of the loss/or Our inspecting representative.
exceeding the Sum Insured stated against each item or 4. Not abandon the Insured Gadget without Our written
total Sum Insured stated in the Schedule, as the case permission.
may be, under this Policy provided the Company is 5. Wherever details pertaining to happening of claim are
bound and liable to indemnify You in accordance with conveyed by You to Us after reasonable period, You
the terms and conditions of this Policy only and only if shall provide the reasons of such delay to Us and We
You make a demand or claim on the Company in writing may on analysis of reasons provided by You, may
within 12 (twelve) months of the occurrence of any condone the delay in intimation of claim or delay in
event giving rise to a claim hereunder. providing the required information/documents to Us.
13. Observance of Terms and Conditions: The due 6. In case of damage, where We are unable to get the
observance and fulfilment of the terms, conditions and damaged Insured Gadget repaired, You shall get the
endorsement of this Policy in so far as they relate to Insured Gadget repaired at the Authorized Repair Centre
anything to be done or complied with by You and the post approval of repair amount from Us and send
truth of the statements and answers in the proposal shall invoices along with other documents requested to Us for
be a condition precedent to any liability of the Company processing. The list of Authorized Service Centers shall
to make any payment under this Policy. be available on website.
14. Jurisdiction: The construction, interpretation and

meaning of the provisions of this Policy shall be Notices
determined in accordance with Indian law. The section Any notice, direction or instruction given under this Policy
headings of this Policy are included for descriptive shall be in writing and delivered by hand, post, to-
purposes only and do not form part of this Policy for the In Your case, at the last known address specified in the
purpose of its construction or interpretation. Schedule
In Our case:
15. Entire Contract: This Policy constitutes the complete
contract of insurance. No change or alteration in this ICICI Lombard General Insurance Company Limited
Policy shall be valid or effective unless approved in ICICI Lombard House
writing by Us, which approval shall be evidenced by an 414, Veer Savarkar Marg,
endorsement on the Policy. Near Siddhi Vinayak Temple,
Prabhadevi, Mumbai-400025
Claims Process
In case of an event occurring resulting in a claim under this
Policy, You or Your legal representatives shall Customer Service
If at any time You require any clarification or assistance,
1. Please notify us immediately on occurance of a You may contact any of Our offices at the address
claim at Call Centre Number – 18002662292 and in specified, during normal business hours.
any case within 7 days giving full description of
loss/damage and the cause.
Grievances
2. Submit the completed and signed claim form, provide all
In case you are aggrieved in any way, You should do the
the relevant documents as mentioned below in support
following:
of Your claim not later than 30 days from the date of
intimation
1. Call Us at toll free number: 1800 2666 or email us at
Claim documents: customersupport@icicilombard.com
I. Claim Form duly filled and signed
II. Vouchers or purchase bill, as applicable 2. If You are not satisfied with the resolution then You
III. Proof of ownership may subsequently write to the manager- service quality,
IV. Copy of First Information Received (FIR)/ Daily Dairy corporate manager- service quality, national manager-
Report(DDR) (for lost/ stolen cases) operations & finally director-services and business
V. Any other document as may be reasonably required by development at the following address:
ICICI Lombard General Insurance Company Limited,
Us or Our representative to investigate the claim or Our
ICICI Lombard House,
obligation to make payment for it
414, Veer Savarkar Marg,
Near Siddhi Vinayak Temple,

Prabhadevi, Mumbai - 400025 CHANDIGARH
Punjab, Haryana
Office of the Insurance Ombudsman,
(excluding
3. In case the Insured’s complaint is not fully addressed S.C.O. No. 101, 102 & 103, 2nd Floor, Gurugram,
by the Insurer, Insurer may use the Integrated Batra Building, Sector 17 - D, Faridabad,
Greivance Management System (IGMS) for escalating Chandigarh - 160 017. Sonepat and
the complaint to IRDAI. Through IGMS, Insured can Tel.:- 0172 - 2706196/ 2706468 Bahadurgarh)
register the complaint online and track its status. For Fax : 0172 - 2708274 Himachal Pradesh,
registration please visit IRDAI website www.irdaindia.org. Email: Union Territories of
If the issue still remains unresolved, You may, subject bimalokpal.chandigarh@cioins.co.in Jammu & Kashmir,
to vested jurisdiction, approach Insurance Ombudsman Ladakh &
for the redressal of the grievance. Chandigarh.
CHENNAI
If the issue still remains unresolved, You may, subject
to vested jurisdiction, approach Insurance Ombudsman Tamil Nadu, Tamil
Fatima Akhtar Court, 4th Floor, 453,
for the redressal of the grievance. Nadu Puducherry
Anna Salai, Teynampet, Chennai 600
Town and Karaikal
018.
The details of Insurance Ombudsman are available below: (which are part of
Tel.:- 044 - 24333668/ 24335284 Puducherry).
Jurisdiction of Fax : 044 - 24333664
Office Union Email: bimalokpal.chennai@cioins.co.in
Office Details
Territory, Delhi & Following
DELHI
District) Districts of
AHMEDABAD Haryana -
2/2 A, Universal Insurance Building,
Office of the Insurance Ombudsman, Gurugram,
Asaf Ali Road, New Delhi - 110 002.
Jeevan Prakash Building, 6th floor, Faridabad,
Gujrat, Dadra & Tel.:- 011 - 23232481/23213504
Tilak Marg, Relief Road, Ahmedabad - Sonepat &
Nagar Haveli, Email: bimalokpal.delhi@cioins.co.in
380001 Bahadurgarh.
Daman and Diu
Tel No. 079 - 25501201/02/05/06 GUWAHATI
Email: Office of the Insurance Ombudsman, Assam,
bimalokpal.ahmedabad@cioins.co.in Jeevan Nivesh, 5th Floor, Nr. Meghalaya,
BENGALURU Panbazar over bridge, S.S. Road, Manipur, Mizoram,
Office of the Insurance Ombudsman, Guwahati - 781001 (ASSAM). Arunachal
Jeevan Soudha Building,PID No. Tel.:- 0361 - 2632204/ 2602205 Pradesh, Nagaland
Email: and Tripura
57-27-N-19 Ground Floor, 19/19, 24th
Main Road, JP Nagar, Ist Phase, Karnataka bimalokpal.guwahati@cioins.co.in
Bengaluru - 560078 HYDERABAD
Tel No. 080 - 26652048/ 26652049 Office of the Insurance Ombudsman,
Email: 6-2-46, 1st floor, "Moin Court", Lane
bimalokpal.bengaluru@cioins.co.in Opp. Saleem Function Palace, A. C. Andhra Pradesh,
BHOPAL Guards, Lakdi-Ka-Pool, Hyderabad - 500 Telangana, Yanam
004. and part of Union
Territory of
Janak Vihar Complex, 2nd Floor, 6, Tel: 040 - 23312122
Puducherry.
Malviya Nagar, Opp. Airtel Office, Madhya Pradesh, Fax:040-23376599
Near New Market, Bhopal - 462 003. Chattisgarh Email:bimalokpal.hyderabad@cioins.co.in
Tel No - 0755 - 2769201/ 2769202
Fax No. 0755-2769203 JAIPUR
Email: bimalokpal.bhopal@cioins.co.in Office of the Insurance Ombudsman,
BHUBANESHWAR Jeevan Nidhi - II Bldg., Gr. Floor,
Office of the Insurance Ombudsman, Rajasthan
Bhawani Singh Marg, Jaipur - 302 005.
62, Forest park, Tel: 0141 - 2740363
Bhubneshwar - 751 009. Email:bimalokpal.jaipur@cioins.co.in
Orissa
Tel no - 0674 - 2596461/ 2596455
Fax No.- 0674-2596429
Email:
bimalokpal.bhubaneswar@cioins.co.in

ERNAKULAM Kerala, NOIDA
Lakshadweep, State of
Office of the Insurance Ombudsman, Office of the Insurance Ombudsman,
Mahe-a part of Uttaranchal and
2nd Floor, Pulinat Bldg., Opp. Cochin Bhagwan Sahai Palace 4th Floor, Main
Union Territory of the following
Shipyard, M. G. Road, Ernakulam - Road, Naya Bans, Sector 15, Distt:
Puducherry. Districts of Uttar
682 015. Gautam Buddh Nagar, U.P-201301. Pradesh: Agra,
Tel: 0484 - 2358759/ 2359338 Tel: 0120-2514252/ 2514253 Aligarh, Bagpat,
Fax: 0484 - 2359336 Email: bimalokpal.noida@cioins.co.in Bareilly, Bijnor,
Email: Budaun,
bimalokpal.ernakulam@cioins.co.in Bulandshehar,
KOLKATA Etah, Kanooj,
Mainpuri, Mathura,
Meerut,
Hindustan Building. Annexe, 4th Floor, West Bengal, Moradabad,
C.R.Avenue, Kolkata - 700072 Sikkim, Andaman Muzaffarnagar,
Tel No: 033 - 22124339/ 22124340 & Nicobar Islands Oraiyya, Pilibhit,
Fax: 033 - 22124341 Etawah,
Email: bimalokpal.kolkata@cioins.co.in Farrukhabad,
LUCKNOW Firozbad,
Districts of Uttar
Office of the Insurance Ombudsman, Gautambodhanaga
Pradesh : Lalitpur,
6th Floor, Jeevan Bhawan, Phase-II, r, Ghaziabad,
Jhansi, Mahoba,
Nawal Kishore Road, Hazratganj, Hardoi,
Hamirpur, Banda,
Shahjahanpur,
Lucknow - 226 001. Chitrakoot,
Hapur, Shamli,
Tel : 0522 - 2231330/ 2231331 Allahabad,
Rampur, Kashganj,
Fax : 0522 - 2231310 Mirzapur,
Sambhal, Amroha,
Email: bimalokpal.lucknow@cioins.co.in Sonbhabdra,
Hathras,
Fatehpur,
Kanshiramnagar,
Pratapgarh,
Saharanpur.
Jaunpur,Varanasi,
Gazipur, Jalaun,
PATNA
Kanpur, Lucknow,
Unnao, Sitapur,
Lakhimpur, 1st Floor, Kalpana Arcade Building,
Bahraich, Bazar Samiti Road, Bahadurpur, Patna
Bihar, Jharkhand
Barabanki, 800 006.
Raebareli, Tel No: 0612-2680952
Sravasti, Gonda, Email id :
Faizabad, Amethi, bimalokpal.patna@cioins.co.in
Kaushambi, PUNE
Balrampur, Basti, Office of the Insurance Ombudsman,
Ambedkarnagar, Maharashtra, Area
Jeevan Darshan Bldg., 3rd Floor,
Sultanpur, of Navi Mumbai
C.T.S. No.s. 195 to 198, N.C. Kelkar
Maharajgang, and Thane
Santkabirnagar, Road, Narayan Peth, Pune - 411 030
excluding Mumbai
Azamgarh, Tel.: 020-41312555 Metropolitan
Kushinagar, Email: bimalokpal.pune@cioins.co.in
Gorkhpur, Deoria,
Mau, Ghazipur, The updated details of Insurance Ombudsman are also
Chandauli, Ballia, available on IRDA website: www.irdaindia.org, on the
Sidharathnagar. website of Executive Council of Insurers (ECOI):
MUMBAI http://www.ecoi.co.in/ombudsman.html, Our website
Office of the Insurance Ombudsman, www.icicilombard.com or from any of Our offices
3rd Floor, Jeevan Seva Annexe, S. V. Goa, Mumbai COMPANY CONTACT DETAILS:-
Metropolitan
Road, Santacruz (W), Mumbai - 400
Region excluding Toll-free number: 1800-2-666
054.
Navi Mumbai & You may also write to us at the following address:
Tel : 022 - 26106552/ 26106960 Thane Postal Address:
Fax : 022 - 26106052
Email: bimalokpal.mumbai@cioins.co.in ICICI Lombard House,
414, Veer Savarkar Marg,
Near Siddhi Vinayak Temple,

Prabhadevi, Mumbai - 400025


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CERTIFICATE OF INSURANCE

GADGET INSURANCE POLICY

Branch Code: MUMBAI - BKC (B) Intermediary Code: 202147527145

INSURED GADGET DETAILS

Base Cover Coverage opted (Y/N) Sum Insured(` ) Geographical Limit

DEPRECIATION RATE APPLICABLE TO THE INSURED GADGET

Age of Insured Gadget % of Purchase Value of Insured Gadget

ICICI Lombard General Insurance Company Limited

Net Premium (` ) Rs.6270

"ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

14. Jurisdiction: The construction, interpretation and

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

ICICI Lombard General Insurance Company Limited

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