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Corporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited.Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: 570, Rectifier House, Naigaum Cross Road, Next to Royal Industrial Estate, Wadala (W), Mumbai 400031."Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance GeneralInsurance Company Limited under License”

Insurance is the subject matter of Solicitation. IRDA of India Registration No. 103

An ISO 9001:2008 Certified Company

(Service Tax Registration Number: AABCR6747BST001)Category-General Insurance Business Service 00440005)

Category-General Insurance Business Service 00440005.

Consolidated Stamp Duty Paid with Receipt No. MH006126164201415E Dated 02 Mar 2015 ** Not Applicable for the State of Jammu & Kashmir

Total Premium : 296.00

Premium Details Amount (Rs.)

Net Premium : 259.00

Add: Service Tax (14.00% of Net Premium) : 36.26

Duly Constituted Attorney(s)

Agent Code/Name : Direct/Direct

For Reliance General Insurance Company Limited

Note : In the event of dishonor of cheque, this policy document automatically stands cancelled from inception, irrespective ofwhether a separate communication is sent or not.

In witness whereof this policy has been signed at Corporate Group - Delhi on 26-Aug-2015

For any assistance with claims, please contact us on 1800 3009 (toll free) or email us at services.rgicl@relianceada.com.

The policy covers THEFT as an extension.

Proposal / Covernote No: P1301952911178147

Date of proposal & declaration : 24/08/2015

Name of the Insured : Mayank Mudgal

Master Policy No : 9202952911000011 Policy Certificate No : 1301952911178147

Address of Issuing Office : Address of Servicing Branch Office :

Reliance General Insurance Co. LtdRectifier House, Naigaum Cross Road, 570Wadala (W), Mumbai - 400 031, India

Reliance General Insurance Co. LtdPolicy Servicing Branch address : Flat No-10-15, 14th Floor, VijayaBuilding, 17, Barakhamba Road , Connaught Place, New Delhi - 110001Delhi Delhi 110001, IndiaBranch Contact No. 011-39975617

Burglary and Housebreaking Insurance Policy

HP Pavilion Notebook 15-ab032TX

5CD5267FXG 90040906 2015 51800.00

Make and Description Model No. Serial No. Identification No. Year of Mfg. Total Sum

Insured (in Rs.)

Property Insured :

Extensions :

Address : House-41, Block-A, Pocket-8, Sector-17, Rohini, City :New Delhi, State : Delhi, PinCode : 110089

Address of the Insured : House-41, Block-A, Pocket-8, Sector-17, Rohini, City : New Delhi, State : Delhi, PinCode : 110089,Telephone No : , Mobile No : 9999553976, Email ID : mayankmudgal@hotmail.co.in

Period of Insurance : From : 21/08/2015 To : 20/08/2016

Description and situation of the premises containing the property insured :