Scribd Logo
Upload

Welcome to Scribd!

  • 52 views

    Transcript of Proposal For SMART Motor Two Wheeler - Package Policy

    Uploaded by

    Vijay Kumar Reddy
    This transcript summarizes the details of the motor two-wheeler insurance policy finalized for Vijaykumar Reddy Gummadelli. The policy covers his 2017 Honda Activa 4G motorcycle. Key details include a policy number, insured declared value of 42,613 INR, and coverages like third party liability of 770 INR and own damage of 243 INR. The total premium is 1162.16 INR with a no claim bonus of 142.84 INR. The policy is valid from March 17, 2018 to March 16, 2019.

    Copyright:

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

    Transcript of Proposal For SMART Motor Two Wheeler - Package Policy

    Uploaded by

    Vijay Kumar Reddy
    52 views2 pages
    This transcript summarizes the details of the motor two-wheeler insurance policy finalized for Vijaykumar Reddy Gummadelli. The policy covers his 2017 Honda Activa 4G motorcycle. Key details include a policy number, insured declared value of 42,613 INR, and coverages like third party liability of 770 INR and own damage of 243 INR. The total premium is 1162.16 INR with a no claim bonus of 142.84 INR. The policy is valid from March 17, 2018 to March 16, 2019.

    Original Description:

    policy

    Original Title

    policy

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This transcript summarizes the details of the motor two-wheeler insurance policy finalized for Vijaykumar Reddy Gummadelli. The policy covers his 2017 Honda Activa 4G motorcycle. Key details include a policy number, insured declared value of 42,613 INR, and coverages like third party liability of 770 INR and own damage of 243 INR. The total premium is 1162.16 INR with a no claim bonus of 142.84 INR. The policy is valid from March 17, 2018 to March 16, 2019.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    52 views2 pages

    Transcript of Proposal For SMART Motor Two Wheeler - Package Policy

    Uploaded by

    Vijay Kumar Reddy
    This transcript summarizes the details of the motor two-wheeler insurance policy finalized for Vijaykumar Reddy Gummadelli. The policy covers his 2017 Honda Activa 4G motorcycle. Key details include a policy number, insured declared value of 42,613 INR, and coverages like third party liability of 770 INR and own damage of 243 INR. The total premium is 1162.16 INR with a no claim bonus of 142.84 INR. The policy is valid from March 17, 2018 to March 16, 2019.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    Transcript of Proposal for SMART Motor Two Wheeler - Package Policy

    Dear VIJAYKUMAR REDDY GUMMADELLI,

    This is to inform you that the contract under policy number S8682565 has been finalized, based on the information and
    declaration provided by you, the transcript whereof is mentioned below. We request your confirmation of the same. We
    would request you to get in touch with us within 10 days in case of any disagreement or any changes with respect to
    information mentioned below. Please note that the policy has been issued based on the details mentioned in this transcript.
    We advise you to please ensure that you have provided/disclosed and or not withheld any material facts/information and
    declarations, as Policy becomes Void initio if material facts are not provided/disclosed and or withheld and in such case no
    claim, if any, will be considered by us apart from forfeiture of the premium.

    The details that we have received from you is as mentioned below:

    I.Proposer details

    Proposer's Name : VIJAYKUMAR REDDY GUMMADELLI


    Proposer's Address : 13/4
    vekateshwaracolony,cinthagattu
    bgr gardens, cinthagattu
    WARANGAL - 506015
    TELANGANA
    Proposer's Email ID : [email protected]
    Proposer's Residential Number :
    Proposer's Mobile Number : 9700482807

    II.Insured Vehicle details

    Registration Number Vehicle Make/ Model/ Sub Type Year of Manufacture Fuel Type
    TS08FF0721 HONDA MOTORS ACTIVA 4G 2017 Petrol

    Month/ Year of Registration Engine Number Chassis Number


    2017 JF50ET5038842 ME4JF507CHT038635

    Seat Cap. CC Vehicle Insured Elec Acc Non Elec Acc CNG/LPG Unit Total Insured Declared
    Declared Value INR Value INR

    2 110 42,613 0 0 0 42,613

    III.Coverages Opted
    1. Period of Insurance: From 17/3/2018 00:00 hrs To 16/3/2019 Midnight
    2. Is your vehicle fitted with LPG/CNG kit: No
    3. Electrical Accessories cover opted(If Applicable):No
    4. Non-Electrical Accessories cover opted(If Applicable):No
    5. Is Voluntary Excess opted: No
    Amount of voluntary excess opted: INR 0.00
    6.Provision for Nominee of PA cover provided to owner-driver:
    NOMINEE NAME: RAMADEVI
    NOMINEE AGE: 62
    NOMINEE RELATIONSHIP: Mother
    APPOINTEE NAME:
    APPOINTEE RELATIONSHIP: Rel
    7. Is any additional compulsory deductible imposed and agreed upon: No.
    Amount of additional compulsory deductible imposed: NA
    8.Whether geographical area extension is opted: No
    Details of Countries to which geographical area extension cover is given : NA
    9. Is LL to person for Paid driver/Operation/Maintenance opted: No
    10.Whether PA cover is opted for paid driver other than owner driver: Yes
    Sum Insured for Paid Driver:INR 100,000.00
    11.Whether PA cover is opted for passengers: No
    Sum Insured per Passenger: INR 0
    12.Is TPPD restricted to statutory limit of INR 6000? No
    13. Premium for Liability coverage, quoted and agreed upon is : INR 770
    14.Premium for OD coverage, quoted and agreed upon is:INR 243.00
    15. Total Premium (excluding Service Tax and Education Cess) for Liability and OD coverages, quoted and agreed upon is:
    INR 1162.16
    16. NCB(No Claim Bonus) claimed by you and granted by us based on your declaration of no claim during your previous
    policy: 142.84
    17. About the last insurance company
    (i)Insurance Provider: IFFCO Tokio General Insurance Co. Ltd.
    (ii)Previous Policy No: 1-DLROUES (iii)Policy Expiry Date: 2018-03-16
    18. Whether your vehicle is Hypothecated and if so,the details of Pledgee whose name is registered by us: No
    Name of Pledgee: NA
    19.Whether LL to employee is Opted: No
    20.Whether vehicle fitted with anti-theft devices:No
    21.Add on Cover(s) Opted: Yes
    Plan name : DEPRECIATION COVER-

    Please feel free to contact any of our policy servicing branches as mentioned on our Website for any queries. Alternatively
    you could call us or mail us on the details provided below.

    Toll free Number: 1800 103 2292


    Email address: [email protected]
    Website : www.bharti-axagi.co.in

    For Bharti AXA General Insurance Co Ltd.

    Authorized Signatory

    You might also like