Policy Schedule Cum Certificate of Insurance - Motor Two - Wheelers Policy Bundled 
Issued at
Cholamandalam MS General Insurance Company Limited
Policy No. Unit # 04, 9th Floor (Level - 06), "Golden Heights" complex, HERO INSURANCE BROKING INDIA PVT LTD.
3410/00694696/000/00 59th 'C' cross, Industrial Suburb, Rajajinagar 4th 'M' Block, IRDA Registration No.: 649
Bangalore - 560010 Toll-Free No.: 1800 102 4376
Tel:1800 208 5544 264, Okhla Ind. Estate, Phase-III, Delhi-110020
Ph.: 044 4044 5400
Fax: 044 4044 5500

Insured Business/Profession Address of The Insured TP Valid From TP Valid To

W/O ESHWARAPPA MACHAGONDANAHALLI, DEVAN 25-11-2021
Ms PARVATHAMMA Agriculture Midnight of 24-11-2026
UR (PO) Kadur KARNATAKA 577175 16:52:55
Vehicle Regn No. Engine No.  Chassis No. Make & Model Year of Mfg Cubic GSTIN No.
Capacity (Customer)
Hero MotoCorp
New HA11EYM4H02461 MBLHAW123M4H05170 SPLENDOR + BS6-I3S 2021 97
DRS
Declared Value (IDV) of Side Car IDV Non-Electrical Electrical Accessories CNG/LPG/Bi- Total IDV
Vehicle Accessories IDV IDV Fuel IDV
65560.00 NA 0.00 0.00 0.00 65560
Place of Regn. Body Type HP/Lease/Hire-Purchase Branch Office of Seating Premium
Agreement With HP/Lease/Hire-Purchase Capacity
CHIKAMAGLUR Solo SHRI RAM CITY UNION CHIKMAGALUR 2 5167.00
FINANCE LTD, HPA
Section A B. Liability Premium Computation (Section II) in Rs.
Basic OD Premium : 769.00 Basic Third Party Liability : 3285.00
Non-Electrical-Fitting Premium : 0.00 TPPD Discount : 0.00
Electronic & Electrical Accessories : 0.00 Total : 3285.00
Bi-Fuel Kit : 0.00 CNG/LPG/Bi-Fuel Kit : 0.00
Geographical Extension : 0.00 Geographical Extension : 0.00
Less : Add
Handicapped Discount : 0.00 Compulsory PA Cover (Owner Driver) : 325.00
For Anti-Theft Discount : 0.00 Optional PA Cover(Un Named Passenger) : 0.00
NCB     : 0.00 Optional PA Cover(Un Named Driver) : 0.00
Total Own Damage Premium(A) : 769.00 Legal Liability Cover (Paid Drivers, Cleaners) : 0.00
Legal Liability Cover (Per Licensed Passenger) : 0.00
Total Liablity Premium (B) : 3610.00
Total Premium (A + B) : 4379.00
For any other extra : 0.00
CGST @ 9.00% : 394.00
SGST @ 9.00% : 394.00
Gross Premium : 5167.00
IRDAI'sRegnNo.:123||LicenceNo.:123||CINNo.:U66030TN2001PLC047977||PANNo.:AABCC6633K|| GSTIN No.:29AABCC6633K5ZB ||UIN No.-IRDAN123RP0017V01201819
25-11-2021 To 24-11- 25-11-2022 To 24-11- 25-11-2023 To 24-11- 25-11-2024 To 24-11- 25-11-2025 To 24-11-
OD and CPA policy period
2022 2023 2024 2025 2026
IDV 65560 NIL NIL NIL NIL
CPA Rs. 15 lakhs. NIL NIL NIL NIL
LIMITATIONS AS TO USE:--The Policy covers use of the vehicle for any purpose other than: a) Hire Or Reward b) Carriage of goods (other than samples or
personal luggage) c) Organized Racing d) Pace Making e) Speed Testing f) Reliability Trials g) Any purpose in connection with Motor Trade.
DRIVER: Any person including insured: Provided that a person driving holds an effective driving licence at the time of the accident and is not disqualified from
Holding or obtaining such a licence.Provided also that the person holding an effective Learner's Licence may also drive the vehicle and that such a person
satisfies the requirements of Rule 3 of the Central Motor Vehicle Rules, 1989.
LIMIT OF LIABILITY: Limit of the amount of the Company's liability under the Section II-I(i) Death of or bodily injury - Such amount as is necessary to meet the
requirements of the Motor Vehicles Act , 1988.. Limit of the amount of the Company's liability under Secion II-I(ii) Damage to Third Party Property-Rs-  100000/
P.A. Cover for Owner – Driver under section III (CSI) - Rs.15 lacs.
IMPORTANT NOTICE:--The insured is not indemnified if the vehicle is used or driven otherwise than in accordance with this Schedule. Any payment made by
the company by reason of wider terms appearing in the Certificate in order to comply with the Motor Vehicle Act, 1988 is recoverable from the insured. See the
clause headed 'AVOIDANCE OF CERTAIN TERMS AND RIGHTS OF RECOVERY'
I./We hereby certify that the Policy to which this Certificate relates as well as this Certificate of Insurance are issued in accordance with the provisions of Chapter X and Chapter
XI of M.V. Act, 1988.
SAC Description :-- Motor vehicle insurance services.
Broker :  Hero Insurance Broking India Pvt. Ltd.
Premium of Rs. 5167.00 Received Vide   The policy is subject to a compulsory excess of Rs. 100/- &
Cash/Cheque No. Depreciation is applicable as per policy terms & conditions*
Dated Nominee Name MANJUNATH (Please turn overleaf for details)
Drawn on Nominee Age 33 Consolidated stamp duty paid to state exchequer : IMT -
Acknowledgement 25-11- Nominee Relation Son 22,5
Dt 2021 SAC code: 997134
FOR RENEWALS CONTACT:  NAYANA MOTORS  Ph.No- 078-99285423 On behalf of Cholamandalam General Insurance Co. Ltd.

25-Nov-2021
Date & Signature of MALLANDUR RD., UPPALLI, Mo - 7899285423
proposer

Dealer's Stamp & Signature Duly Constituted Attorney

# : Received with Thanks Rs 5167.00 from Ms PARVATHAMMA as premium against the money receipt no 02HE00288499
Regd. & Head Office :   Consolidated stamp duty paid to state exchequer
For further information about motor insurance policy please also visit www.irdai.gov.in >> Grievances >> Policyholder Handbooks
 THE AVOIDANCE OF CERTAIN TERMS AND RIGHT TO RECOVERY
Nothing in this policy or any endorsement hereon shall affect the right of any person indemnified by this policy or any other person to recover an amount under
or by virtue of the provisions of the Motor Vehicles Act, 1988.
But the insured shall repay to the Company all sums paid by the Company which the Company would not have been liable to pay but for the said provision..
IMPORTANT:--IN THE EVENT OF TRANSFER OF OWNERSHIP, INSURANCE IS NOT AUTOMATICALLY TRANSFERRED IN THE NAME OF TRANSFEREE
UNLESS APPLICATION IS MADE WITHIN FOURTEEN DAYS THERE OF SEEKING TRANSFER OF INSURANCE .
GRIEVANCE CLAUSE:--For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 1800 208
5544 or may write an email at [email protected]. In case the insured is not satisfied with the response of the office, insured may email to
Grievance Officer at [email protected]. In the event of unsatisfactory response from the Grievance Officer, he/she may, subject to vested
jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI
website www.irdai.gov.in or on company website www.cholainsurance.com
SCHEDULE OF DEPRECIATION FOR ARRIVING AT IDV
AGE OF THE VEHICLE RATE OF DEPRECIATION FOR FIXING IDV
Not Exceeding 6 months 5%
Exceeding 6 months but not exceeding 1 year 15%
Exceeding 1 year but not exceeding 2 years 20%
Exceeding 2 year but not exceeding 3 years 30%
Exceeding 3 year but not exceeding 4 years 40%
Exceeding 4 year but not exceeding 5 years 50%
Depreciation of Parts for Partial Loss Claims
a. Rate of depreciation for all rubber/nylon/plastic parts, tyres and tubes, batteries and air bags 50%
b. Rate of depreciation for all fibre glass components 30%
c. Rate of depreciation for all parts made of glass NIL
d. RATE OF DEPRECIATION FOR ALL OTHER PARTS INCLUDING WOODEN PARTS IS TO BE AS PER THE FOLLOWING SCHEDULE
AGE OF THE VEHICLE RATE DEPRECIATION
Not exceeding 6 months NIL
Exceeding 6 months but not exceeding 1 year 5%
Exceeding 1 year but not exceeding 2 years 10%
Exceeding 2 year but not exceeding 3 years 15%
Exceeding 3 year but not exceeding 4 years 25%
Exceeding 4 year but not exceeding 5 years 35%
Exceeding 5 year but not exceeding 10 years 40%
Exceeding 10 years 50%
e. Rate of Depreciation for Painting:- In the case of painting, the depreciation rate of 50% shall be applied only on the material cost of total painting charges.
In case of a consolidated bill for painting charges, the material component shall be considered as 25% of the total painting charges for the purpose of applying
the depreciation
DO'S FOR THE INSURED
1. In the event of accident to the vehicle, please Inform in writing to the authorised Hero MotoCorp dealer  &/ or Insurance Company's office immediately.
2. Please complete and sign the claim form.
3. Documents like claim form, original driving licence, original registration certificates, copy of policy, police report (In case of the theft/third party loss) and
Satisfaction Voucher be submitted to the authorised Hero MotoCorp Dealer.  .
4. If the vehicle is to be repaired at a workshop other than Hero MotoCorp authorized workshop, please intimate to the nearest office of Cholamandalam General
Insurance Co. Ltd.  along with copy of policy for appointment of surveyor to assess the loss.
DONT'S FOR THE INSURED
1. In case of Third Party Loss/ extensive Damage to own vehicle inform the police for obtaining proper F.I.R. and do not admit any liability or enter in to any compromise without
written consent of the Insurance Company.
2. Do not proceed with the repairs or replacement job unless approved by the Insurer/authorized surveyor.
On renewal,the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.
The insured is entitled for a No Claim Bonus (NCB) on the own damage section of the policy, if no claim is made or pending in each completed year of risk* , as
per the following table provided the policy is renewed with us on long term basis:
Policy terms and conditions:Please refer to IC website www.cholainsurance.com for policy wording.
GST – 1. Whether tax is payable under reverse charge basis – No. 2. In compliance with the provisions of Sub Rule (2) of Rule 54 of CGST Rules, 2017 along
with relevant Notifications, this policy schedule shall be in lieu of Tax Invoice and hence no separate GST invoice required. 3. As per Notification No. 13/2020-CT
dated 21-Mar-2020, Chola MS, being a General Insurance Company, are exempt from E-Invoicing provisions of GST laws
Motor Vehicle Act/Rules” following to be incorporated after this “, as amended from time to time.
 lt is hereby warranted the coverage under this Policy commences only from the Risk Start Time and Date as mentioned in the Policy Schedule. No Liability
Shall attach under this Policy in respect of any Accident/Loss prior to the time and date of commencement of Period of insurance
 This policy is preceded by break-in insurance and hence it is expressly agreed and understood that there will be no liability for any loss or damage
that has occurred prior to the date of commencement mentioned in the schedule
 Warranted that the insured named herein/owner of the vehicle holds a valid Pollution Under Control (PUC) Certificate and/or valid fitness certificate, as
applicable, on the date of commencement of the Policy and undertakes to renew and maintain a valid and effective PUC and/or fitness Certificate, as applicable,
during the subsistence of the Policy. Further, the Company reserves the right to take appropriate action in case of any discrepancy in the PUC or fitness
certificate

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