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Policy Details No
31040046150400000001 from
01.04.2015
to
31.03.2016.
THE NEW INDIA ASSURANCE CO LTD.
Connaught House(310400),E-9, Connaught House,
IInd floor, Connaught Circus, New Delhi-110058.
TeleNo: 011:23416030, 23415157,Fax:23416030.
E-mail: nia.310400@newindia.co.in
CASH AT PREMISES Rs. 1,00,00,000/-. and
CASH IN TRANSIT for Rs.3,00,00,000/- .
CAPEX MODEL ATMs : Rs. 50,00,000/- each machine.
Policy Issued by
Sum insured
Please note under no circumstances the overall limit for cash carrying in one trip should exceed Rs. Two
Crore so as to be within the limits of the policy taken. Further, remittance upto Rs.Twenty Five lacs
should be escorted by one Armed Guard and remittance of above Rs. Twenty five lacs to Rs. Two Crore
should be escorted by two armed guards.
If the cash is more than Rs. Two Crore then more than one trip should be made. In any case cash more
than Rs. Two Crore should not be carried at one time.
For the place having high crime profile, particularly the North East, J&K and Naxalite prone area the
maximum cash carrying limit in one trip by cash van should be Rs. 75.0 lac only.
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8.
Do any of the persons involved hold any property? If so, give full
particulars.
9.
Has the loss been reported to the Police? If so when and where? If not,
why not?
Note: A copy of any statement made to the Police must be attached.
10.
What action have you or the Police taken in the matter with a view to
recovering or minimizing the loss?
11.
Do you have other insurance covering the same risk? If so, give full
particulars.
12.
Have you ever before sustained any loss of the same or similar nature?
If so, give full particulars.
I/We the above named, do hereby to the best of my / our knowledge and belief warrant the truth of the foregoing statement in every
respect and I / We agree that if I / We have made, or in any further declaration the Company may require in respect of the said loss
shall make any false or fraudulent statement, or any suppression or concealment my / our claim shall be absolutely forfeited, and
the Policy shall thenceforth be null and void.
Date : Place ..
Signature of Claimant
Witness : & Address :