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    Bajaj Allianz General Insurance Company Limited: Extended Warranty Transcript of Proposal

    Uploaded by

    bjrock123
    This document is a transcript of an extended warranty policy issued by Bajaj Allianz General Insurance Company Limited to Mr. Balrajsinh Bawa. It provides details of the insured, the LED asset covered, and terms of the 2-year extended warranty coverage including coverage period, premium amount and deductibles. The transcript notes that the policy details are based on information provided by Mr. Bawa, and requests that he review and confirm the details or notify the company of any objections within 15 days.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bajaj Allianz General Insurance Company Limited: Extended Warranty Transcript of Proposal

    Uploaded by

    bjrock123
    67 views2 pages
    This document is a transcript of an extended warranty policy issued by Bajaj Allianz General Insurance Company Limited to Mr. Balrajsinh Bawa. It provides details of the insured, the LED asset covered, and terms of the 2-year extended warranty coverage including coverage period, premium amount and deductibles. The transcript notes that the policy details are based on information provided by Mr. Bawa, and requests that he review and confirm the details or notify the company of any objections within 15 days.

    Original Title

    OG-17-1000-6609-00209597

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    © © All Rights Reserved

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    This document is a transcript of an extended warranty policy issued by Bajaj Allianz General Insurance Company Limited to Mr. Balrajsinh Bawa. It provides details of the insured, the LED asset covered, and terms of the 2-year extended warranty coverage including coverage period, premium amount and deductibles. The transcript notes that the policy details are based on information provided by Mr. Bawa, and requests that he review and confirm the details or notify the company of any objections within 15 days.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views2 pages

    Bajaj Allianz General Insurance Company Limited: Extended Warranty Transcript of Proposal

    Uploaded by

    bjrock123
    This document is a transcript of an extended warranty policy issued by Bajaj Allianz General Insurance Company Limited to Mr. Balrajsinh Bawa. It provides details of the insured, the LED asset covered, and terms of the 2-year extended warranty coverage including coverage period, premium amount and deductibles. The transcript notes that the policy details are based on information provided by Mr. Bawa, and requests that he review and confirm the details or notify the company of any objections within 15 days.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    *56614909*

    BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED


    (A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Regd. No.113)
    Regd. Office: GE Plaza, Airport Road, Yerwada, Pune 411006 (India)

    EXTENDED WARRANTY TRANSCRIPT OF PROPOSAL


    Policy Issuing Office GE Plaza,Airport Road,Yerwada,Pune-411006,Phone No :66026666
    Insured Name MR. BALRAJSINGH BAWA Child Certificate Number OG-17-1000-6609-00209597

    Dear MR. BALRAJSINGH BAWA,


    We wish to inform you that the contract under policy number OG-17-1000-6609-00209597 has been finalized based on the information and declaration given by you, the transcript
    where of is mentioned below. You are requested to reconfirm the same. In case of any disagreement or objection or any changes with respect to information mentioned below, we
    request you to please revert back within a period of 15 days from date of your receipt of this, failing which it will be deemed that you are satisfied with the correctness of the details
    mentioned below. Kindly note that as the contents and declarations contained in this transcript is the basis on which we have issued the policy to you. We advise you to please ensure
    that you have provided/disclosed and or not withheld any material facts/information and declarations, as Policy becomes Void ab initio if material facts are not provided/disclosed
    and or withheld and in such case no claim, if any, will be considered by us apart from forfeiture of the premium.

    Details provided by you:


    A. Proposer details:
    1. Proposer Name : MR. BALRAJSINGH BAWA
    C/O SHARAD MESRAM CHATRAPATI NAGAR NEAR BIYANI NAGAR SOSUCTI SHOP TUKUM,CHANDRAPUR,
    2. Proposer Address : CHANDRAPUR - 442401,MAHARASHTRA
    3. Proposer Contact Number : 8956224145
    4. Proposer e-mail id : [email protected]

    B. Asset details:
    Asset Category Manufacturer Make Model
    LED VIDEOCON VID-LED VJU32HH12XAH

    Manufacturer's Product Warranty Period Insured Asset Serial No Insured Asset Invoice No Invoice Date Sum Insured (in Rs.)
    1 YEAR 111000000000000000 100 18-MAY-2016 23000

    C. Coverage opted:
    1 Period of Extended Warranty 2 year(s)
    2 Period of Insurance From 18-MAY-2017 00:00 Hours To 17-MAY-2019
    3 Total Premium (including Service Tax and Krishi Kalyan Cess) Rs.1816
    4 Deductibles NA

    In case of Disagreement or objection or any changes with respect to information and contents mentioned hereinabove, please contact our toll free number & register your
    objections/changes/disagreement to the contents of this transcript or you may also send us email or written correspondence at the following details within a period of 15 days from
    date of your receipt of this transcript along with Policy:
    I/we have read and understood the Privacy Policy of your Company at www.bajajallianz.com and I hereby unconditionally agree and bind myself to all terms and conditions of your
    Privacy Policy, as amended, from time to time.
    For Extended Warranty policy related communication :
    Toll Free Number : 1800-209-1021 (free calls from all mobiles and landlines) between 11 AM to 11 PM, 7 days a week
    E-Mail Address : [email protected]
    Contact our policy servicing branch at : Bajaj Allianz General Insurance Company Ltd,GE Plaza, Airport Road, Yerawada, Pune-411006. PH: +91 (020) 66026666

    (Details are system generated & hence no signature required).

    Insurance Act, 1938 Section 41 - Prohibition of Rebates Insurance Act


    No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating
    to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing
    or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectus or tables of the insurer. ANY PERSON MAKING FAULT IN
    COMPLYING WITH THE PROVISIONS OF THIS SECTION SHALL BE PUNISHABLE WITH FINE WHICH MAY EXTEND TO FIVE HUNDRED RUPEES.

    Schedule (1) | Printed on : 03-Jun-2016 10:14:25 am |Silent Print|WEB|31837022

    For help and more information: Page 1 of 2


    Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858 (Toll Free)
    Email: [email protected] , Website www.bajajallianz.com Corporate Identification Number: U66010PN2000PLC015329

    https://www.facebook.com/BajajAllianz https://twitter.com/BajajAllianz www.bit.do/bjazgi Demystify Insurance http://support.bajajallianz.com


    *56614909*

    BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED


    (A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of India [IRDAI] vide Regd. No.113)
    Regd. Office: GE Plaza, Airport Road, Yerwada, Pune 411006 (India)

    EXTENDED WARRANTY POLICY SCHEDULE UIN : BAL-OT-P15-04-V02-15-16

    Policy Issuing Office GE Plaza,Airport Road,Yerwada,Pune-411006,Phone No :66026666


    Insured Name MR. BALRAJSINGH BAWA Child Certificate Number OG-17-1000-6609-00209597

    INSURED DETAILS POLICY DETAILS


    C/O SHARAD MESRAM CHATRAPATI NAGAR NEAR BIYANI NAGAR SOSUCTI Policy Issued on 02-JUN-2016
    SHOP TUKUM, From: 18-MAY-2017 00:00
    Insured Address CHANDRAPUR, Period of Insurance To : 17-MAY-2019 Midnight
    CHANDRAPUR - 442401,
    MAHARASHTRA Endorsement NA
    Customer ID 80210584 Policy Status ISSUED
    Master Policy Number OG-16-9999-9960-00000006
    Cover Details
    ASSET CATEGORY LED
    SUM_INSURED 23000
    NO OF YEARS 2
    Premium Details
    Net Premium. Rs.1579
    Service Tax Rs.221
    Final Premium Rupees One Thousand Eight Hundred and Sixteen only. Swachh Bharat Cess Rs.8
    Krishi Kalyan Cess Rs.8
    Gross Premium. Rs.1816
    Other Details
    Manufacturer VIDEOCON
    Make VID-LED
    Model VJU32HH12XAH
    Manufacturer Product Warranty Period 1 Year
    Serial No. of Insured Asset 111000000000000000
    Invoice No. of Insured Asset 100
    Invoice Date of Insured Asset 18-May-2016
    Supplier ID 21002
    Dealer Name 0
    Dealer Code 0
    Dealer Location 0
    Deductibles NA
    Special Condition As per the Policy Wordings of Extended Warranty
    Remarks

    For Extended Warranty policy related communication :


    Toll Free Number : 1800-209-1021 (free calls from all mobiles and landlines) between 11 AM to 11 PM, 7 days a week
    E-Mail Address : [email protected]
    Contact our policy servicing branch at : Bajaj Allianz General Insurance Company Ltd,GE Plaza, Airport Road, Yerawada, Pune-411006. PH: +91 (020) 66026666

    Receipt Number:0 | Date:02-JUN-16 | Premium Payer ID:33875185 | Float: BG


    Premium Details ** If Premium paid through Cheque, the Policy is void ab-initio in case of dishonour of Cheque.
    Financial Institution Ref. No. 435EWC23080398

    Agency Code 10031837,BAJAJ FINANCE Contact No.


    & Name LIMITED E-Mail ID.
    For & on the behalf
    Bajaj Allianz General Insurance Company Ltd. QR Code

    Authorized Signatory
    (This is system generated document and need not be countersigned.)

    Consolidated stamp Duty paid vide Receipt No: .34 dated 02-MAY-16

    Service Tax Regd. Number AABCB5730G-ST-001

    Schedule (1) | Printed on : 03-Jun-2016 10:14:25 am |Silent Print|WEB|31837022

    For help and more information: Page 2 of 2


    Contact our 24 Hour Call Centre at 1800-209-5858, 1800-102-5858 (Toll Free)
    Email: [email protected] , Website www.bajajallianz.com Corporate Identification Number: U66010PN2000PLC015329

    https://www.facebook.com/BajajAllianz https://twitter.com/BajajAllianz www.bit.do/bjazgi Demystify Insurance http://support.bajajallianz.com

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