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Arogya Plus Policy –Endorsement

Endorsement forming part of


0000000033648472
Policy Number

Endorsement Number 000000002777949

Period of Insurance From: 18/05/2023 (12:40) To: 17/05/2025 (Midnight)

Agent no. (IMD code) 0011297

URN No

Proposer MrSANJOY KUMAR BHATTACHARYA

1.No, Olaichanditala Road,, Nimta,


Kolkata, Kolkata,
Address
West Bengal-700049,
India

Endorsement Effective Date From: 07/10/2023 To: 17/05/2025 (Midnight)

Additional/Refund Premium Rs.0.00

Rs.3,043.80
Taxes as applicable

Total Rs.0.00

Endorsement Reason :Change in Insured Details


Endorsement Wordings: Notwithstanding anything contained herein to the contrary of the within mentioned policy schedule, it is
hereby agreed and declared that details under the policy should be read as mention below.

Member Name : JINIA BHATTACHARYYA

The effective date of this endorsement is 07/10/2023.

All other terms, conditions, coverage, warranties and exclusions of the policy remain unaltered.

Place : Bidhannagar For SBI General Insurance Company Limited


Date of Issuance : 09/10/2023

Signatory & Designation

SBI General Insurance and SBI are separate legal entities and SBI is working as Corporate Agent of the company for sourcing of insurance
products

SBI General Insurance Company Limited


Registered and Corporate office:9th Floor, A&B Wing, Fulcrum Building,Sahar Road, Andheri East, Mumbai –400099
UIN NO: SBIHLIP14006V011314

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