The Oriental Insurance Company Limited
OVERSEAS MEDICLAIM POLICY (BUSINESS AND HOLIDAY) -
ENDORSEMENT SCHEDULE
Attached to and forming part of Policy No : 211200/48/2025/4049
Endorsement No : 211200/48/2025/4049-001 Endorsement Date : 07/08/2024
Endorsement Effective From 00:00 On 07/08/2024 To Midnight Of 15/08/2024
Insured's Code : 182959412 Issue Office Code : 211200
Insured's Name : Suresh Kumar Muraleedharan Issue Office Name : BO PADAM SGH RD KAROL BAGH
Unnithan (GSTIN: ) DLI (GSTIN: 07AAACT0627R1Z1)
Address : SURESH BHAVAN, Address : 16/20, WEA, FIRST FLOOR,NEAR
NADUVILAKKARA ALUMMOODU PO, SHASTRI PARK,
KERALA PADAM SINGH ROAD, KAROL BAGH
NEW DELHI
NEW DELHI DELHI 110005
KOLLAM KERALA 691577
Agent/Broker Details
Dev.Off.Code :
Agent/Broker : LC0000000660 M/S POLICYBAZAAR INSURANCE BROKERS PRIV
Address : Plot No. 119, Sector-44, Gurgaon,, Gurgaon, Haryana, 122002,Tel
- 1800-258-5970,GURGAON,HARYANA,122002
Tel/Fax/Email
: 1800-258-5970/1800-258-5970//
Total Premium : 0 Type of Endorsement : Rectification in Name and adresss
Collection No & Dt : GST INVOICE NO :0723357701 UIN :0
Co Insurance Details :
ENDORSEMENT
Rectification in address
SCHEDULEOF PREMIUM
Cover Description Original Endorsement Revised Endorsement
Sum Insured Sum Insured Sum Insured Premium
Total Amount in figures and words : 0 ( INDIAN RUPEES only )
The Insurance under this policy / endorsement is subject to following terms,conditions,waranties & clauses specified in the
policy / endorsement:
All other terms/conditions/waranties/clauses in the policy remain unaltered
Place : : NEW DELHI
Page 1 of 2
Date : 07/08/2024
The Oriental Insurance Company Limited
Attached to and forming part of policy number 211200/48/2025/4049
Waranted that in case of dishounour of premium cheque(s) the company shall not be liable under the endorsement and
the endorsement shall be void ab initio
In witness whereof the undersigned begin authorised by and on behalf of the company has herein to set his hands.
Entered By : Surender Singh Digitally Signed
By
Examined By : Surender Singh Authorised Signatory
This is an electronically generated document (policy Schedule).The Policy document duly stamped will be sent by post.
In case of any query regarding the Policy please call Toll Free No.1800 11 8485 and 011 33208485.
CIN:U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupees
IRDA regn.No.556-Now you can buy and renew selected policies online at www.orientialinsurance.org.in and through
other detail platforms including Whatsapp(Send "Hi" to 9560711200)
Place : : NEW DELHI
Page 2 of 2
Date : 07/08/2024
