1. Tata AIG General Insurance Company Ltd.
ENDORSEMENT
Endorsement No: 1 Effective Date: 15/06/2011 Expiry Date: 19/05/2012
Attached to and forming part of Policy No. 0151291774 00
A200
It is hereby declared and agreed that the Policy stands amended from 14:54 hours 15/06/2011
for:
The correct name of the insured is KIRAN and not as mentioned therein.
This has resulted in changes to the Policy with no change in Premium.
Subject to the Endorsements No(s) & Memorandum: A200,
All other terms and conditions of the Policy remain unaltered.
For Tata AIG General Insurance Company Ltd.
Atri Chakraborty
National Head - Operations & Systems
Name : KIRAN .
Address: No. 36 , Ft No 1 , 2nd Floor,
Sri Durga Complex, Katarguppe
Main Road ,3 Stg, Bangalore.
BANGALORE, 560085
KARNATAKA
Tata AIG General Insurance Co. Ltd. Policy Holder Services, P. O. Box No. 9407, Chakala MIDC- Post Office, Mumbai 400093. TOLLFREE HELP LINE: 1 800 119966
(Regd Office: Peninsula Corporate Park, Nicholas Piramal Tower, 9th Floor, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400013)
A200 Branch: 05 Insured Copy Page 1 of 1