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    Anita Devi Insurance

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    PRAKASH SINGH
    This document is an insurance policy schedule for a two-wheeler owned by Anita Devi from Shahjahanpur, Uttar Pradesh. It provides the policy and vehicle details, including the make, model, and registration number of the vehicle insured. The schedule outlines the premium amounts for the own damage and third party liability sections of the policy, as well as applicable taxes, discounts, and the total premium due.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Anita Devi Insurance

    Uploaded by

    PRAKASH SINGH
    49 views1 page
    This document is an insurance policy schedule for a two-wheeler owned by Anita Devi from Shahjahanpur, Uttar Pradesh. It provides the policy and vehicle details, including the make, model, and registration number of the vehicle insured. The schedule outlines the premium amounts for the own damage and third party liability sections of the policy, as well as applicable taxes, discounts, and the total premium due.

    Original Description:

    INSURANCEPATTERN FOR 5 YEARS

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    This document is an insurance policy schedule for a two-wheeler owned by Anita Devi from Shahjahanpur, Uttar Pradesh. It provides the policy and vehicle details, including the make, model, and registration number of the vehicle insured. The schedule outlines the premium amounts for the own damage and third party liability sections of the policy, as well as applicable taxes, discounts, and the total premium due.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views1 page

    Anita Devi Insurance

    Uploaded by

    PRAKASH SINGH
    This document is an insurance policy schedule for a two-wheeler owned by Anita Devi from Shahjahanpur, Uttar Pradesh. It provides the policy and vehicle details, including the make, model, and registration number of the vehicle insured. The schedule outlines the premium amounts for the own damage and third party liability sections of the policy, as well as applicable taxes, discounts, and the total premium due.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    

    BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LIMITED


    (A Company incorporated under Indian Companies Act, 1956 and licensed by Insurance Regulatory and Development Authority of
    India [IRDA] vide Reg No.113)
    Regd. Office: GE Plaza, Airport Road, Yerwada,Pune-411006(India)
    TWO WHEELER PACKAGE POLICY SCHEDULE
    UIN:IRDAN113RP0008V01201819
    Policy issuing office and Correspondence address for communication by policyholder for claim, service request, notice, summons, etc:
    BAJAJ ALLIANZ GENERAL INSURANCE CO LTD, 3RD FLOOR NARAIN BUILDING, SHAHNAZAF ROAD, HAZRATGANJ , LUC-
    KNOW-226001 PH:0522-2200553/2200554
    INSURED DETAILS POLICY DETAILS
    Insured Name ANITA DEVI Policy Number OG-20-1301-1826-00002193
    W/O RAMNIWAS VILL/POST IN- Policy Issued on 29-MAY-2019 18:04 PM
    DALPUR, BANDA TTEHSIL POWAY-
    Insured AN , BANDA SHAHJAHANPUR, For Own Damage Section
    Address SHAHJAHANPUR, UTTAR PRADESH-
    242042 From : 29-MAY-2019 18:04 (Hrs)
    Geographical India To : 28-MAY-2020 Midnight
    Area
    Customer ID Policy Period For Third Party Liability Section
    149067403
    From : 29-MAY-2019 18:04 (Hrs)
    Bank Reference To : 28-MAY-2024 Midnight
    No 1
    Cover Note
    /
    GSTIN / UIN NA Details
    STATE CODE / 09 - Uttar Pradesh
    NAME Previous Policy No 0

    Invoice No

    Make & Mod-


    Registration Number Place of Registration Engine Number Chassis Number SubType
    el
    ES ALLOY
    MD625GF16J1E21
    NEW SHAHJAHANPUR LF1EJ1812869 TVS - VICTOR DISC (110
    487
    CC)
    Year Of Manufactur-
    NCB % CC Seating Capacity Hypothecation Details
    ing
    0 110 2 2019 INDUSIND BANK LTD
    Non electrical Electrical/Elec- Value of CNG/
    Vehicle IDV Value For Side Car Total Value
    accessories tronic accessories LPG kit
    55925 0 0 0 0 55925
    Own Damage Premium(Rs.) Liability Premium(Rs.)
    Own Damage Premium 315 Basic Third Party Liability 3035
    Special Discount Total Act Premium - B 3035
    Total OD Premium - A 315
    Total Premium (Net Premium) (A+B) 3350
    State GST (9%) 302
    Central GST (9%) 302
    Final Premium ( Rupees Three Thousand Nine Hun- 3954
    dred Fifty Four Only )
    **Note: The above Total OD Premium is inclusive of all applicable Loading /Discounts viz (Automobile association membership, Voluntary Excess,
    Anti Theft, Handicap Person, Driver Tuition, Fiber Glass, CNG/LPG Unit, Geographical Extension, Imported Vehicle Etc. wherever Applicable)

    Broker Code 56179296 Contact No. 9670366667/00000000000


    For help and more information:
    Contact our 24 Hour Call Centre at 1800-102-5858, 1800-209-5858, 1800-22-5858, Toll Free: 30305858( chargeable, add area code before this number in case of mobile call) Email us at Ba-
    [email protected] or Visit our Website www.bajajallianz.com
    Corporate Identification Number U66010PN2000PLC015329
    Latest Schedule - 29-May-2019 18:17:16 PM- Silent_Printing (Web) (18522020)

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