JNS Pmsby 24 25 00067265452 758

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Pradhan Mantri Suraksha Bima Yojana

Certificate of Insurance (COI)

Pradhan Mantri UNITED INDIA INSURANCE COMPANY Master Policy 0504004224P999990252

Suraksha Bima Yojana Number

Name of Member MAMTA Unique Reference JNS-PMSBY-24-25-

Number (URN) 00067265452-758

Address C/O: NAGENDRA N 11/22 R-1 RANIPUR Mobile Number 8756752635

MAHMOORGANJ, BHELUPUR, VARANASI, VARANASI,

UTTAR PRADESH, 221010

Aadhar Number - Date of Birth 03/01/1986

Bank / Post office a/c 680202120001505 Name of UNION BANK OF INDIA

no. Bank/Post Office

Branch Address HARIHARPUR VARANASI , VARANASI, UTTAR Branch Code 568023

PRADESH, 221010

Name of Nominee NAGENDRA Age of Nominee 42 YEARS

Date of Commencement 01/08/2024 12:38:32 Cover End Date 31/05/2025

of Cover

Sum Assured Rs. 2,00,000* Premium Amount Rs. 20.0

Paid

Annual Renewal Date 1ST JUNE OF EVERY YEAR

* Rs. 2 Lakhs is payable on member's death due to accident.

Rs. 2 lakhs is payable on total and irrecoverable loss of both eyes or loss of use of both hands or Signature of authorised official

feet or loss of sight of one eye and loss of use of one hand or foot due to accident of bank / post office

Rs 1 Lakh is payable on total and irrecoverable loss of sight of one eye or loss of use of one hand 01/08/2024
or foot due to accident
12:38:33
The terms and conditions of the scheme are available at https://jansuraksha.in/

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