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THE NEW INDIA ASSURANCE CO. LTD. Ser ea ae er ee ee cor
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POLICY SCHEDULE FOR HULL MACHINERY INSURANCE.
insured Name [1s SAN NAGHINERES PVT
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Period of naurance | [Fem 04018 720007 AN To: 1 MULKARNT 10500595)
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[Premium [7 "esre’ | Totalfinrin Figures) _| Totel(iNf. in Words) _} Receipt No. & Date —|
35968 235772 Two tat, 1701006 179
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49175 9810) i683 4ua018
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‘3 Installment 49175 3852, 58027 1gy19/2018
Instaliment 2173 2532 | ___ 0025 401201
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‘Name of Vessel IMO No. ‘Sub Type of ‘Vessel | Year of ‘Port of an and
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1D. 8. GARISDAS NAL | Dumb Barges ‘Dumb Barges 2008, MMB.
|_Vesse! Sum insured® Annual Premium’ — | _- Deductible _/
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[Special Conditions [HULL & MACHINERY. INSURANCE CLAUSE AS ATTACHED.
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[adtiona Perl Decuctbie |: [na
Cover eta
Cover Name ‘um inured Premium
SRCC Cover 31075188 27978
"TRADING LMITS/TRADING WARRANTIES
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Page 10t2
CIN No. : U.99999 MH 1919 GO! 000526,
‘Thane Divisional Office - 170100 : 8-201, Pinak Galaxy, Opp. Big Bazar, Kapurbawdi Junction, Majiwada, Thane (W) - 400 607.
oom To 2595408, 25406407 et / Fax: 25423121 « Sari Taxa: AMACMIBECSTI7B ROA Regan Ho: 12
@ aaah ase ere ~ 170100 :@t - 201, Peas Sera or acme 2b ara, geared ciaert, aces, a (9) - 400 607CIN No, : U 99999 MH 1919 GO! 000526
Page 2012
Sree, atts, ae (9.) -
i il cot 708-2] Pano au ines Fan as ae
{a vier mre - 170100 : & - 201, Rea dieraet, fear aor & BER, 400 607.
‘FEMA / Tal: 25496408, 25496407 Faas / Fax: 25423121 « Service Tax No: AAACNAIBSCSTI78 «RDA Regsation No. 190CIN No. : U 99999 MH 1919 GO! 000526,
THE NEW INDIA ASSURANCE CO. LTD.
(Wolly owned by the Govt of india)
ADJUSTMENT VOUCHER
testy omer wae 00-7010 (170100
mee amy rn canny
Sieben eh NETO
Prone ots
mat ria 700@ewne con
roe asia
Cotecton amber ‘ove eoxos0761
otucion Date touaore
Basie Sours Cade teoese85
Pan oct Paver
acd hans fom WS SAAMI WACHINERNES PVTLTO.
“hearse acs soars
PleyNa (AS Dscigioa [Anew WE Cade SB AR Code
‘yoteoz2e030009000i | sert70160 —|Seoea00 | "S091 tote
o100223eo100000001 | —sers70100"—| 2750.00 3081370300,
‘Total = €61653.00
‘our Paymenagustne: Dota a
‘Mode | Amount® | Cheque [cheque Oe
gave [eneaue Drones Bonk Droneebrnch] Reece [ean
[scan [5850300 [0001s [Zama ~ [saw or SaRODA Powal nsiooomiss_ low]
eee S SANE LTD Trane ———Tenoooz sions} lose
‘Total = 761693.00
ulzation stall of ne Colca
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a
Date otssve: 180472018
4. Piease rate he Policy Number, Colton Nufioe Bats nah ture corespondehie
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sted by ure
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Policy No: 17010022180100000001Document generated by 17821 at 1804/2018 18:28:44 Hours.
Regd. & Head Office: New India Assurance Bldg, 87 M.G. Road, For, Mumbel- 400 001. TOLL FREE No. 1800209 141.
‘ah vise rare - 170100: @ 201, Ray See, Ro aor ea, agra
Page tot
‘Baer, ATTET, eet (4) - 400 607,
Thane jaca, Thane (W) -400 607
‘Disional Ofice- 170100: B-201, Pinak Galany, Opp. Big Bazar, Kapurbawdl Junction, Majwada, Thane (W)
{AM /Te, 25496408, 25406407 Ga / Fax: 25425121 «Sere Tax No: AACNSTSSCSTITS «RDA Rgistaton No: 180,