Contractors All Risks Insurance Policy Form (Page 4 of 4) in pdf

Contractors All Risks Insurance Policy Form Page 4

PAYMENT DETAILS

Please fill in your payment details for either Cheque / Credit Card Option

Cheque please pay by crossed cheque (account payee only) in the name of “SBI General Insurance Company Ltd.”

Cheque No.

Bank Name

Branch

City

Dated

For Rs.

DECLARATION

I/We the undersigned hereby declare that the above statements and particulars are true and complete and I/We declare and agree that this declaration and

the answers given above shall be held to be promissory and shall be the basis of the contract between me/us and the Company.

Place:

Date:

Signature of Proposer

SECTION 41 OF THE INSURANCE ACT, 1938

1. No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take out or renew or continue an insurance in

respect of any kind or risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium

shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in

accordance with the published prospectuses or tables of the insurer.

2. Any person making default in complying with the provisions of this Section shall be punishable with fine which may extend to Rs.500/-

Insurance is the subject matter of the solicitation.