To,
Sr. Divisional Manager
The Oriental Insurance Company Limited
Thane Divisional Office
3rd Flooor, Saraswati Mandir
(Marathi Granth Sangralaya )
Near Z.P. Office , Subhash Road
Thane (West) – 400601- Maharashtra
Tel No.022-25402721/22,25401172 / 25369996 Cell.No.9820934701 / 9029410866
Email : asmita.s@orientalinsurance.co.in / rghodgekar04@gmail.com
Ref : Renewal Of Our Policy No.:
SUB : Student Group Accident Insurance Policy( Yuva Raksha) For the Academic
Year 2022-23
FORWARDING PERFORMA ALONGWITH LIST OF STUDENTS TO THE
ORIENTAL INSURANCE COMPANY LIMITED IN DUPLICATE SET
| 1 | Name of College | Aakash Degree College |
| 2 | College Address Tel.No. & Email | 02249767196 College_aakash@rediffmail. com |
| 3 | Director/ Principal Name, Tel.No.,Mobile No. Email | Mr. S.P. Patil (9867632347) |
| 4 | Concern Person doing Insurance work Name,Tel.no. Mobile No. & Email | Mr. Mohan Gotekar 8097425606 |
| 5 | Total No.Of Student | 337 |
| 6 | Sum Insured Per Student Per Year | 2 Lack |
| 7 | Premium Per Student Per Year | Rs. 70.80/- |
| 8 | Total Premium Amount | 23,860/- |
| 9 | Cheque No. Bank Name , Date OR NEFT UTR NO.,Bank Name, Branch,Date | |
| 10 | GST No & PAN No Of College or Trust | AABTA5726E |
You are requested to send us official stamped receipt along with Policy paper for our record & audit purpose
Thanking You
Yours Truly
Principal / Director