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DUPLICATE SCHEDULE
Policy No :
300102/11/13/3100000122
Insureds Name: K.C.C BANK.A/C OF SONALBEN VIPULBHAI
PATEL.
Address
: GROUND FLOOR-FLATE NO-M/44/157,
GOKUL APPARTMANT.SOLA ROAD. AT
NRANPURA. AHMEDABAD.
Dist. : Ahmedabad, Gujarat
Pin Code :380013
Cash
Risk/Rate Block Basic Rate RSMD Excl STFI Excl Disc/Lo Claim Net Rate Sum Insured
Code No. No.
(PerMille) (PerMille) (PerMille) ad(%) Exp(%) (%0) (In Rupees)
Building:Stock(s)
/Content(s) :
1 / 01
01
0.300
0.300
0.000
0.000
0.0000
0.0000
0.000
0.000
Description of Risk
Premium
(In Rupees)
450
0
Rate Applicable
.3
Dwellings
Description of Risk : BUILDING WITH PLINTH AND FOUNDATION. BUILDING NO- M/14/157 ( GROUND FLOOR ) GUJ HOU
BOARD.AT SOLA ROAD. AT NARANPURA. AHMEDABAD. AND BUILDING USE FOR DWELLING PURPOSE.
Add-On Description
Rate Applied
Sum Insured
Premium
.05
15,00,000
75.00
75.00
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------The property is situated at :- BUILDING WITH PLINTH AND FOUNDATION. BUILDING NO- M/14/157 ( GROUND FLOOR )
GUJ HOU BOARD.AT SOLA ROAD. AT NARANPURA. AHMEDABAD. AND BUILDING USE FOR DWELLING PURPOSE. 382220
The Sum(s) Insured is/are as under:Sum Insured
Escl
Escalation
Srl Description of Property
(%)
Premium(Rs)
1 Building(s) Only
For and on behalf of
National Insurance Company Limited
DUPLICATE SCHEDULE
1
Less
Add
Rs.525.00
Rs.5,250
Rs.2,250
Rs.3,750
Rs.464
Rs.4214
Policy Premium :
Long Term Discount
50% :
Net Premium :
Service Tax 12.36%:
Total :
Rs.15,00,000
Non-AOG Excess(%)
0.00
15,00,000
AOG Excess(%)
EQ Rate Charged :
300102/11/13/3100000122
Branch Name
BAVLA
Remarks/Special Conditions :
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