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    Jeetu R

    Uploaded by

    divyamanglani99
    1) This document is a policy schedule for a private car liability only policy issued by Go Digit General Insurance Ltd. to Jeetu Suresh Rajpal for his Maruti Suzuki Wagon R. 2) The policy provides third party liability coverage for bodily injury and property damage as required by law in India. 3) The policy period is from April 11, 2021 to April 10, 2022 with a total premium of Rs. 2398.

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

    Jeetu R

    Uploaded by

    divyamanglani99
    48 views2 pages
    1) This document is a policy schedule for a private car liability only policy issued by Go Digit General Insurance Ltd. to Jeetu Suresh Rajpal for his Maruti Suzuki Wagon R. 2) The policy provides third party liability coverage for bodily injury and property damage as required by law in India. 3) The policy period is from April 11, 2021 to April 10, 2022 with a total premium of Rs. 2398.

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    jeetu r

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    1) This document is a policy schedule for a private car liability only policy issued by Go Digit General Insurance Ltd. to Jeetu Suresh Rajpal for his Maruti Suzuki Wagon R. 2) The policy provides third party liability coverage for bodily injury and property damage as required by law in India. 3) The policy period is from April 11, 2021 to April 10, 2022 with a total premium of Rs. 2398.

    Copyright:

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

    Jeetu R

    Uploaded by

    divyamanglani99
    1) This document is a policy schedule for a private car liability only policy issued by Go Digit General Insurance Ltd. to Jeetu Suresh Rajpal for his Maruti Suzuki Wagon R. 2) The policy provides third party liability coverage for bodily injury and property damage as required by law in India. 3) The policy period is from April 11, 2021 to April 10, 2022 with a total premium of Rs. 2398.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Go Digit General Insurance Ltd.

    Schedule/Certificate
    Digit Private Car Liability Only Policy
    UIN No.: IRDAN158RP0002V01201718

    Name JEETU SURESH RAJPAL Vehicle Registration No. MH04GZ2313


    N Partner Name Direct
    divya residency flat no 304 sec 27 kharghar
    Address 1000299
    raigarh,Raigarh(MH)-410210 Partner Code
    1000299
    Mobile xxxxxxxxx4432 Partner Mobile No. --

    Email [email protected] Partner Email [email protected]


    Aadhar No. -- For Claims,contact us at 1800-258-5956

    YOUR POLICY DETAILS


    Policy No. D032825983 / 10042021 Policy Issue Date 10-Apr-2021 Invoice No. IA034744030
    From 11-Apr-2021 01:07:34 Invoice Date 10-Apr-2021
    Period of Policy
    To 10-Apr-2022 23:59:59

    YOUR VEHICLE DETAILS

    D Seating
    RTO Location Thane,MAHARASHTRA 5
    Capacity

    Make MARUTI SUZUKI Model/Vehicle Variant (Sub-Type) WAGON R/GREEN LXI

    Engine No. K10BN7493950 Chassis No. MA3EWDE1800859093 Cubic Capacity 998 CC

    Fuel Type CNG Year of Mfg. -- Year of Regn. 2015


    FASTag Number NA

    E FASTag NUMBER DECLARATION


    1 The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
    N
    CG ENDORSEMENT
    183 Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium

    IA034744030 2021-04-10 2398.00 0.00 183.00 183.00 0.00 0.00 2032.00

    LIABILITY PREMIUM (`)


    Basic Third-Party Liability (`) 1972 PA cover for Owner-Driver (`) --
    PA cover for 5 passengers 0 (`) -- TP for Bi-fuel kit (`) 60
    Legal Liability for Operation / Maintenance (`) -- Legal Liability to Paid Driver (`) --
    PA Cover for Paid Driver (`)
    Net Premium (`) 2032
    2032
    CGST @ 9% = (`183) + SGST/UTGST @ 9% = (`183) 366
    F
    Final Premium (`) 2398

    OTHER DETAILS
    Previous Insurer
    Previous Policy No. -- Previous Policy Expiry Date
    IMT - Endorsements IMT-20
    GSTIN/UIN No. Unregistered State Code 27
    Payment Mode Online 17_dp-DI05D52B763CE9-3

    G0 Bank Name IFSC/MICR No --


    Receipt No. RA036703316 Receipt Date 10-Apr-2021
    Nominee Details --
    Financier Details --

    Other details --

    N
    Geographical Area: Any liability incurred within India shall be covered subject to Policy Terms and Conditions, unless specifically agreed and endorsed.. Limitation as to use: The
    policy covers use of the vehicle for any purpose other than hire or reward, racing, pace making, reliability trial, speed testing and use for any purpose in connection with the Motor
    Trade. Person or Class of persons entitled to drive: Any person including the insured. 1) Provided that a person driving holds a valid effective driving license at the time of the
    accident and is not disqualified from holding or obtaining such a license. 2) Provided also that the person holding a valid & effective Learner’s License may also drive the vehicle
    and that such a person satisfies the requirements of Rule 3 of the Central Motor Vehicles Rules, 1989 and any subsequent amendment as applicable. Limits of Liability: 1) Under
    Section II - 1 (i) of the policy: Death of or bodily injury - Such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1988. 3) Under Section II - 1 (ii) of the policy:
    Damage to Third Party Property - ` 6000 4) P.A. Cover for Owner Driver under Section III (CSI) - ` 0

    PA Owner Driver Declaration:The Policy has been issued without Compulsory Personal Accident Cover to Owner Driver on the basis of your declaration that you do not hold a valid
    Driving License on or before the date of commencement of this Policy / already have an alternate Personal Accident insurance cover of Rs. 15 Lakhs

    PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or before the date of commencement of the
    Policy .

    Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
    Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-receipt of payment. Violation of Motor
    Vehicle Act: This policy is issued in accordance with the provision of Chapter X and Chapter XI of MV act, 1988 and any subsequent amendment as applicable. Any violation will
    forfeit all benefits and coverages under the Policy. 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 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 Right Of Recovery) in the policy. This policy is subject to the standard policy wordings, warranties and conditions applicable for this product in
    addition to Indian Motor Tariff. Policy would be void on the ground that it was obtained by non- disclosure of material fact or by a representation of fact which was false in some
    material particular.

    Note: The terms and conditions detailed in this policy schedule as well as the policy document sent by Digit shall prevail in case of any dispute.

    For & On Behalf of Go Digit General Insurance Ltd.

    In case of claim or any other query, please


    contact our 24-hour Call Centre at 1800-258-
    5956 or email us at [email protected] or visit
    our website www.godigit.com Praveen Bhat
    Vice President-Customer Experience
    [email protected]
    Authorized Signatory
    Printed, Signed, and Executed at Bengaluru
    Consolidated Stamp Duty has been paid as per Letter of
    Authorization No.67-B/04/2017-18 Date: 30th May 2017
    issued by Department of Stamps and Registration ,
    Bengaluru- 560009 - KARNATAKA.
    Hey, our document is now digitally signed
    Click here to view the certificate.

    Go Digit General Insurance Ltd. Address: Atlantis, 95, 4th B Cross Road, Koramangala Industrial Layout, 5th Block, Bengaluru, Karnataka 560095. IRDAI Reg No. 158 CIN
    U66010PN2016PLC167410, GST Reg. No.:27AACCO4128Q1Z0 HSN: 9971/General Insurance Services, GSTIN Address:Mumbai Business Centre,13th Flr, Godrej Coliseum,
    Lokmanya Pan Bazaar,Behind Everard Nagar,Sion(E),Mumbai,Maharashtra,PIN-400022

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