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7113922, 358 AM
‘THE NEW INDIA ASSURANCE CO. LTD.
{Goverment of Incia Undertaking)
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BY)
POLICY SCHEDULE FOR EMPLOYEES COMPENSATION INSURANCE
‘UIN NUMBER - IRDAN190P0077100001
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Cantor iD zfPosr+ 12582 [tice Code sJoarcuTta D0 1510900) i
[pcos + [oT No sawSt BANGASADONA [Adios ISUMA ESTATE. ZNO FLOOR. 7,GANESH|
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[Arai NewTORN KAVARNA
| 00013
ay KOLKATA WEST BENGAL, 100156 Es
[Phone no Thxxoooxs249 Phere No fossazaraso 1
‘EmalFax erawvony epansiionsom. [Emel + Jna.5100008 [Link]
PANN. T]xsacuoaee [Tax Rog No. + [aaacnanesesTire 1
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| : [sac 7
37138 (omer non-We newanoe sivees
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THR, DEDASISH SANA -(@ATOTTETED
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a51082000
+ ewGargarae Eman ane. nast0s00R yanca
a na 108008 yanoo Zon
[csr Total (©) Total in words) & Date
35252 217855 RUPEES TWO LAC | p00008922050021269|
SEVENTEEN THOUSAND] "2" 1305/22
EIGHT HUNDRED FIFTY i
Vee eee 7 CHT FIVE ONLY = |
etal of Employeus with monthly wages unto ® 15000:
[ Categories Fi ‘Sub Categories Ngof_ | Cash Total
‘lider: Al employees engaged in shop or ‘Exc. blasting and tunneling 707 | 47523600
Yard or tn construction! demolition af
| ullaings and other etal construction like
‘dares, bridge ete incl excavation
DDetals of Emplayees with monthly wages above 15000;
Page aia 71322, 959 AM snere_pat_exporipege2.pag
‘SerialNo | Name of, Description ‘Catagorta ‘No, of Workers ‘Amount Wages |
| contractor
T ‘Statied [Unsidiled] Others j
‘eto ner meal cae
i Name of the Extension [ Sub Limit of the Extension | Deductibles of the Extension
orm ae
; POU geal ms |
(Special Exclusions [wa
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SSS ae annie commoner Raye NTRS
Ce ee eer tee ec pga
ater
ret amaatn
car : sae
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i ithein Pamala) on th
“{Stn gay of ay 2022.
Ferand on beha of
“The New tnd Assurance Company Liited
[Bote of aaa. 1305/2022
Di, ARUP KUMAR BISHYAS)
(Bk: Dre MANAGER!
Duly Constituted Atromeyia)
Stamp Outy under the Foley 1s &
uarank, ot, consolidated Stamp Fees Paid by Pay Order Number,
vide receipt
umber
‘Tax Invoice No : 51090022P0000888
Policy No: 6togooss2am1 eo00d90sDocimant generated by GR RENEWAL ot 1408/2022 17:51:40 Houre.
Regd. & Head Offtce: New india Asouranco Bldg, 87 4.6. Road, Fost, Manbal- 400 001. TOLL FREE No, 1 800 2091416,
Pagezot3 118122, 3:09 AM share_pa_exporipages.png
‘THE NEW INDIA ASSURANCE CO. LTD.
{Govommont et india Uncertakieg)
IRDA Registration Number: 190
AAACNA165C.
Poey No: st090096220100¢00004Document gaverated ky OR_RENEWAL at 1908/2022 17:61:49 Hout,
gd & Head Ofte: New nda Assurance Bg, 87 M.G. Road, Fort, Mumbal -400 001. TOLL FREE No.1 00 209 1416.
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