Scribd
Upload
6 views1 page

Policy

This document is an endorsement schedule for a private car package policy from ICICI Lombard General Insurance Company, detailing a change in the customer's mailing address and contact information. The policy is effective from April 11, 2025, to April 10, 2026, and includes modifications to the customer's details and GSTIN. The document also provides contact information for customer support and an authorized signatory's confirmation.

Uploaded by

tapans
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
6 views1 page

Policy

This document is an endorsement schedule for a private car package policy from ICICI Lombard General Insurance Company, detailing a change in the customer's mailing address and contact information. The policy is effective from April 11, 2025, to April 10, 2026, and includes modifications to the customer's details and GSTIN. The document also provides contact information for customer support and an authorized signatory's confirmation.

Uploaded by

tapans
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Mailing Add.

Office: ICICI Lombard General Insurance Company LTD , ICICI LOMBARD HOUSE , 414, Veer Savarkar Marg, Near Siddhi
Vinayak Temple, Prabhadevi, Mumbai 400 025
Corporate Office: ICICI Lombard General Insurance Company LTD , ICICI LOMBARD HOUSE , 414, Veer Savarkar Marg, Near Siddhi
Vinayak Temple, Prabhadevi, Mumbai 400 025

Endorsement Schedule of Private Car Package Policy


We value your relationship with ICICI Lombard. We thank you for preferring us as your motor insurance partner. We write to this on the
basis of your request vide letter for correction in respect of below subject matter.

Name of the Servicing New Delhi Fourth Parsavnath Capital Tower


IL Branch : Address of the IL Branch : Bhai Veer Singh Marg, New Delhi
Customer ID : 101717236630 New Delhi 110001
Correspondence Office Name DELHI GREEN PARK
Name : MR TAPANSAROTRI
:
Address : 413 MUPPA AKSHAJA INSIGNIA
Policy Number : 3001/338739799/01/000
OPPOSITE VASAVI ATLANTIS NARSINGI
HYDERABAD, TELANGANA 500075 Period of Insurance : From: 11/04/2025
HYDERABAD TELANGANA PIN ­ 500075, Time: 00:00 Hours
MOBILE NO. 9190******11 To Midnight of 10/04/2026
Contact No : Mobile Number 9190******11 Endorsement No : 3001/338739799/01/001
Invoice Number : Effective time and date: 09:37 Hours ­ 14/04/2025
Customer GSTIN No : Date of issue : 14/04/2025
Intermediary Code : 201637152392
Not withstanding anything to the contrary contained in the policy, it is hereby declared and agreed that the policy stands amended for
the reasons given below:
Endorsement wording :
OK
The following(s) are modified :
Description Old Value New Value
R/O W.NO 5 SHAROTRI MOHALA N/BAGWAN 413 MUPPA AKSHAJA INSIGNIA
TEHSIL NAGROTA BAGWAN HIMACHAL PRA, OPPOSITE VASAVI ATLANTIS NARSINGI
Customer Mailing Address
CITY, 176001 INDIA HIMACHAL PRADESH HYDERABAD, TELANGANA 500075
KANGRA 0 PIN ­ 176001 0 HYDERABAD TELANGANA PIN ­ 500075
Location_Code 3773133807 3776164945
The following(s) are modified :
Description Old Value New Value
Address R/O W.NO 5 SHAROTRI MOHALA N/BAGWAN TEHSIL 413 MUPPA AKSHAJA INSIGNIA OPPOSITE VASAVI
NAGROTA BAGWAN HIMACHAL PRA, CITY, 176001 ATLANTIS NARSINGI HYDERABAD, TELANGANA 500075
INDIA HIMACHAL PRADESH KANGRA 0 PIN ­ 176001 0 HYDERABAD TELANGANA PIN ­ 500075, MOBILE NO. ­
[email protected] 919001335111 [email protected]

The following(s) are modified :

GSTIN Reg. No:


HSN/SAC code : 997134 ­ GENERAL INSURANCE SERVICES
Subject otherwise to the terms, conditions, exclusions, limitations and warranties attached to the within mentioned policy.
Compulsory Deductibles :Rs.1000

In witness whereof this policy has been signed at MUMBAI on 14/04/2025

All amounts are in Rs. Authorised Signatory


ICICI Lombard General Insurance Company Ltd.

At ICICI Lombard we are always at your service. If you have any questions, you are welcome to: 1. Visit us at our nearest branch, or 2.
Email us at [email protected] or 3. Write to us at Customer Support Team,ICICI Lombard General Insurance Company
LTD , ICICI LOMBARD HOUSE , 414, Veer Savarkar Marg, Near Siddhi Vinayak Temple, Prabhadevi, Mumbai 400 025
Now one number for all your Insurance needs call us on 1800 2 666(toll free) also accessible from your mobile phone.

You might also like