Office Copy
UNITED INDIA INSURANCE COMPANY LIMITED
19, SUDHA COMPLEX NEELA SOUTH STREET, NAGAPATTINAM, NAGAPATTINAM, TAMIL NADU
NAGAPATTINAM - 611001 TAMIL NADU
PH: (04365) 241569 FAX: EMAIL:
MICRO-INSURANCE PRODUCT-CATTLE INSURANCE POLICY
POLICY NO:0911014721P106389247
( DUPLICATE )
PERIOD OF INSURANCE
From 00:00 Hrs of 04/08/2021
To Midnight of 03/08/2022
Insured
TAMIL NADU LIVESTOCK DEVELOPMENT AGENCY CHENNAI (LIVESTOCK
DEVELOPMENT MISSION)
A/C OF 4 NOS, VETERINARY ASSISTANT SURGEON, VETERINARY DISPENSARY, PARAKKAI.
629601
KANNIYAKUMARI
TAMIL NADU
Agent Name :
Agent Code :
Mobile/Landline Number/Email :
The genuineness of the policy can be verified through "Verify Your Policy" link at www.uiic.co.in.
For any Information, Service Requests, Claim intimation and Grievances please write to 091101@uiic.co.in
Download Customer App(www.uiic.co.in). REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014.
Website: http://www.uiic.co.in
Printed By : AMA45428 @ 30/09/2021 3:46:21 PM
This document is digitally signed
Signer: N MOHAN SANKAR
Date: Thu, Sep 30, 2021 15:46:28 IST
Location: United India Insurance Company Ltd
1/4 Reason: Signing Policy for UIIC
Office Copy
MICRO-INSURANCE PRODUCT-CATTLE INSURANCE POLICY
WHEREAS the Insured named in the Schedule hereto has made to United India Insurance Company Limited(herein after called the
"Company", a proposal and declaration which shall be the basis of this contract and be deemed to be incorporated herein for the
Insurance hereinafter contained and has paid the premium stated herein.
THE COMPANY hereby agrees subject to the terms, provisions, conditions, contained herein or endorsed to otherwise expressed thereon
that if any animal described in the Schedule and belonging to the Insured shall die from any disease or accident (including fire and
lightning) contracted or occurring during the period of Insurance stated herein or any subsequent period in respect of which the insured
shall have paid and the Company shall have accepted the premium required for the renewal or extension thereof the Company will pay to
the Insured after receipt of proof of death satisfactory to the Company the loss which the Insured shall suffer by the death of such animal
not exceeding the Sum Insured in respect thereof as stated in the Schedule hereto or its Market value at the time of loss whichever is
less. However, the company's liability is restricted to 50% of Sum Insured or market value whichever is less if the animal prior to death
giving rise to a valid claim under the Policy is not pregnant or four months less of pregnancy or not in milk production.
Policy No. 0911014721P106389247
SCHEDULE
Policy No. 0911014721P106389247 Previous Policy No.
TAMIL NADU LIVESTOCK DEVELOPMENT AGENCY
Name/ID CHENNAI (LIVESTOCK DEVELOPMENT
MISSION)/ 23029607198
Insured Details
Tel (O): Tel (R) Fax:
Email Mobile:
Business / Occupation None Date of Declaration
Period of Insurance From 00:00 Hrs of 04/08/2021 To Midnight of 03/08/2022
Coinsurance UIIC 091101 : 100%
PREMIUM : Seven thousand three hundred ten rupees only
Type of Cover: Named
DESCRIPTION OF ANIMALS INSURED
IDENTIFICATION Purpose Sum
Species/Breed Sex, Colour &
Sl. Name of the Animal's for Veterinarian Insured(
Indigenous/Cross Distinguishing AgeHeight
No. Owner/Borrower/Loanee Number(Ear which Name
breed/Exotic Marks )
Tag/Marks) Used
KAYAROHANAM Female ,
1 170251974485 Bovine/JX/Crossbreed 4 MILCH DR.M.SUGHANTHI 35000
RAMACHANDREN RED , RED
Female ,
BROWN WITH
2 GOMATHI BALAMURUGAN 100043148537 Bovine/JX/Crossbreed BLACK , 4 MILCH DR.M.SUGHANTHI 30000
BROWN WITH
BLACK
Female ,
WHITE WITH
3 GOMATHI BALAMURUGAN 430078702574 Bovine/JX/Crossbreed 3 MILCH DR.M.SUGHANTHI 30000
GREY , WHITE
WITH GREY
Female ,
FAWN WITH
4 GOMATHI BALAMURUGAN 430078702506 Bovine/JX/Crossbreed 4 MILCH DR.M.SUGHANTHI 30000
WHITE , FAWN
WITH WHITE
Female ,
WHITE WITH
5 GOMATHI BALAMURUGAN 430078702665 Bovine/JX/Crossbreed 5 MILCH DR.M.SUGHANTHI 30000
FAWN , WHITE
WITH FAWN
MANISEKARAN Female ,
6 430078905201 Bovine/JX/Crossbreed 3 MILCH DR.M.SUGHANTHI 35000
KALIYAPPAN RED , RED
MANISEKARAN Female ,
7 430078806243 Bovine/JX/Crossbreed 3 MILCH DR.M.SUGHANTHI 35000
KALIYAPPAN RED , RED
Female ,
BROWN WITH
MANISEKARAN
8 430078855071 Bovine/JX/Crossbreed BLACK , 3 MILCH DR.M.SUGHANTHI 35000
KALIYAPPAN
BROWN WITH
BLACK
2/4
Female ,
MANISEKARAN FAWN WITH
9 430078856267 Bovine/JX/Crossbreed 4 MILCH DR.M.SUGHANTHI 30000
KALIYAPPAN WHITE , FAWN
WITH WHITE
Female ,
MANISEKARAN GREY WITH
10 430078833691 Bovine/JX/Crossbreed 4 MILCH DR.M.SUGHANTHI 35000
KALIYAPPAN BLACK , GREY
WITH BLACK
Female ,
MARRIYAMMAL GREY WITH
11 430078685632 Bovine/JX/Crossbreed 4 MILCH DR.M.SUGHANTHI 35000
BALAKRISHNAN WHITE , GREY
WITH WHITE
Female ,
BLACK WITH
VETHANAYAGI
12 170251974326 Bovine/HFX/Crossbreed WHITE , 4 MILCH DR.M.SUGHANTHI 35000
KARUNANITHI
BLACK WITH
WHITE
VETHANAYAGI Bovine/Gir Female ,
13 430078855606 5 MILCH DR.M.SUGHANTHI 35000
KARUNANITHI X/Crossbreed RED , RED
Tag should be surrendered at the time of claim,otherwise it will be treated as No claim.
In the event of death of animal/s covered under the policy, claim/s shall not be entertained unless the ear tag/s are surrendered to the
Company. In the event of loss of ear tag/s, it is the responsibility of the insured to give immediate notice to the Company and get the
animal retagged.
The Company is not liable to pay the claim in the event of death of insured animal due to disease occurring within 15 days from the
commencement of risk.
Total Sum Insured: 430000 Net Premium : 7,310.00
CGST(0%) : 0.00
SGST(0%) : 0.00
UTGST(0%) : 0.00
IGST(0%) : 0.00
Stamp Duty : 1.00
Total : 7,310.00
Receipt No. : 10109110121106839298
Receipt Date : 29/09/2021
Agency/Broker Code:
Dev.Officer Code:
Location of the farm or place where the animals are stabled: FOH
Special Conditions /exclusions: ,NO TAG NO CLAIM
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Office Copy
Customer GST/UIN No.: Office GST No.: 33AAACU5552C1ZQ
SAC Code: 997139 Invoice No. & Date: 4721I106389247 & 29/09/2021
Amount Subject to Reverse Charges-NIL
Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium exceeding
1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our operating offices as
well as Company's web site.
LET US JOIN THE FIGHT AGAINST CORRUPTION. PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in.
Date of Proposal and Declaration: 04/08/2021
IN WITNESS WHEREOF,the undersigned being duly authorised has hereunto set his/her hand at BO NAGAPATTINAM 091101 on this 28th
day of September 2021 .
For and On behalf of CONSOLIDATED
United India Insurance Co. Ltd. STAMP DUTY PAID AS
PER TAMIL NADU
GOVERNMENT G.O.
(RT.) No.222 DATED
10.07.2020 FOR THE
PERIOD FROM
01.04.2021 TO
Duly Constituted Attorney(s)
30.09.2021
Underwritten By - AMA45428 ( BO UW CUM CASHIER )
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