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  • Accident

    Uploaded by

    vaibhavi khawale
    3 views2 pages
    This document provides details for a personal accident insurance policy for an employee named Vaibhav Khawale. It lists his father's name, employee number, date of joining, designation, date of birth, present and permanent addresses, nominees with their relationship and percentage of payment, and emergency contact details. The document is signed by the employee and dated December 27, 2021 in Pune.

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    This document provides details for a personal accident insurance policy for an employee named Vaibhav Khawale. It lists his father's name, employee number, date of joining, designation, date of birth, present and permanent addresses, nominees with their relationship and percentage of payment, and emergency contact details. The document is signed by the employee and dated December 27, 2021 in Pune.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    3 views2 pages

    Accident

    Uploaded by

    vaibhavi khawale
    This document provides details for a personal accident insurance policy for an employee named Vaibhav Khawale. It lists his father's name, employee number, date of joining, designation, date of birth, present and permanent addresses, nominees with their relationship and percentage of payment, and emergency contact details. The document is signed by the employee and dated December 27, 2021 in Pune.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    DETAI

    LSFORPERSONALACCI
    DENTI
    NSURANCEPOLI
    CY

    Nameoft
    heEmpl
    oyee VAI
    BHAVIKHAWALE

    Fat
    her
    ’sName

    Empl
    oyeeNumber

    Dat
    eofJoi
    ning 27-
    Dec-
    21

    Desi
    gnat
    ion Oper
    ati
    onsExecut
    ive-Tr
    ainee

    Dat
    eofBi
    rt
    h
    02-
    Oct
    -99

    Pr
    esentAddr
    essandPhoneNo
    Sr1A/
    1BharatCol
    onyNearRaigadCol
    ony
    Rahat
    aniPune8767731528

    Per
    manentAddr
    essandPhoneNo
    Sr1A/
    1BharatCol
    onyNearRaigadCol
    ony
    Rahat
    aniPune8767731528

    Nameoft
    heNomi
    nee/
    Rel
    ati
    onshi
    pwi
    tht
    heEmpl
    oyee:

    Nameoft
    heNomi
    nee Rel
    ati
    onshi
    pwi
    thEmpl
    oyee Per
    cent
    agePay
    abl
    e

    MangeshMai
    nd HU 50.
    00

    Ani
    lKhawal
    e FA 50.
    00
    NameandAddr
    essoft
    hepersontobe
    cont
    act
    edi
    ncaseofemer
    gency:

    Pl
    ace:Pune

    Dat
    e: 27/
    12/
    2021 Si
    gnat
    ureoft
    he
    Employ
    ee

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