Adobe Scan Mar 01, 2021
Adobe Scan Mar 01, 2021
Adobe Scan Mar 01, 2021
POEL SEDONESE
weA
CE
VAL
TAX 1 t
Piwgese FER OF0
SUSK OBHAKOHAD
ANN
INDIAN UNION DRIVING LiCENCE
MADHYA PRADESH STATE Form 7
Number MP10R20s057189rv
Name
SHARMA
S/DW of ONANSIYAM SHARMA
Address GOUR KUNU BAHETI COLONY
SANAWAD
Org NGS6719/1996 KHARGONE,MP
sued on ORE lssued on 08-12-2016
DOB
07-07-197s BG:
is Licence to drive
Vehicle Clads MCWGR JLMV- HOLDERSIGN
Date of lssee 25-10-1996 AUMMOnucatio
Valid till (Trarisport) 2206-20
Valid till (Non-Transporty 06-07-2025 JAGDISH BLORE
TIVTe Car*PackOge
taath ztem
Policy Number:
3260263 12010001336 a r u kr Business Source: 326026
National insuranic
rht a7utera
4Tute
Issuing Office u t r Sales Channel Code: 9000129025
stsOffice Code: 326026 TH Name: Mr Babulal Patil
uter m Office Address: SANAWAD BC
tv t Contact Number: 9826945583
Sanawad Business
Center, Jawahar Marg, Near
Power House, Sanawad, Dist: Khargone,
451111. Customer Care Toll Free Number:
State Code: 23, Madhya Pradesh
1800 345 0330
yrtantaGSTIN: 23AAACN9967E 1ZB
Fu ziT/Contact Number: 7280 235355 email:[email protected]
taTgF T/Mobile Number: 0
TerA TCt P E, Policy Effective from 00:00 hours, on 23/02/2021 31iaifa 75 to midnight of 22/02/2022
s e r Premium
10,849.00 a hz , a artu Cover Note Number and Date NA
atyreCGST 976.00
RrorEdarwd/SGST/UTGST 976.00
anggra/nGST R0.00
T 3yR/Kerala Flood 0.00 eTa tn mhunProposal Nurnber and Date 8800190220113409 Dt. 25/12/2020
Cess
a_asya/
Less:GST_TDS 0.00
t au ztU yRecoverable
0.00 etz rtear a t u Receipt Number and Date 3280268 12010002098 Dt. 20/02/2021
Stamp Duty
T o t a l Amount frt i tea a ranfa faf Previous Policy 326026311810001368 tand Dt.20/02/2020
12,801.00 Number and Expiry Date 326026311910001531 /and Dt.22/02/2021
/Rupees Twelve Thousand Eight Hundred One a Only.)
TE 1 r u Vehicle Details
T 1 T.`T.}TVehicie IDV 2,00,000.00 ot. zi Regn. Number MP-09-CK-1989
TE ÉT, T IDV r Trailer) NA T /HN G.Engine or M/c CLN166034
No.
a R H Å Electrical NA afeA HATChassis Number wwG11604BTO81434
Accessories
R 3YARINon Electrical sftery sfa. Regn. Authority Indore
Accessories NA