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Go Digit General Insurance Ltd. Schedule/Certificate

Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle UIN No.: IRDAN158RP0001V01201819

Cont Name OSL LOGISTICS PVT LTD Vehicle Registration No. NL01AE1558
ainer GROUND FLOOR SHOP NO-53 GURGAON,Gurgaon- Partner Name Manish Kumar
Address
122015 Partner Code 1000183
KFZ Mobile xxxxxxxxx8118 Partner Email [email protected]
Goo Email [email protected] Partner Mobile No. 9136168118
Aadhar No. -- For claims,contact us at 1800-258-5956

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FH YOUR POLICY DETAILS
1 Policy No. D051321505 / 18022022 Policy Issue Date 18-Feb-2022 Invoice Date 18-Feb-2022
J From 21-Feb-2022 00:00:01
Period of Policy To 20-Feb-2023 23:59:59
NCB % (Current Policy) 25 % Policy Type Public Carrier
Compulsory Deductible 1500 Voluntary Deductible --
YOUR VEHICLE DETAILS
Make TATA Trailer Reg. No. RTO Location Kohima,NAGALAND
AGEN Model/Vehicle Variant SIGNA 3518/S CR - Year of Regn. / Licensed Seating
2019 / -- 3
(Sub-Type) CONTAINER BODY Manufacturing Capacity

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Engine No. 91L84905657 Chassis No. MAT503059K5N17747

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Cubic Capacity 5883 CC

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Fuel Type Diesel Gross Vehicle Weight 28200KG Vehicle Body Type Container

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Goods Type -- Permit Type Public Carrier Wheels 12

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FASTag Number NA

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FASTag NUMBER DECLARATION

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KFZ Agency Co
The Policy has been issued subject to your affirmative declaration that a valid FASTag has been affixed on the insured vehicle.
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YOUR VEHICLE IDV (THE MAXIMUM MONEY YOU CAN GET IN CASE OF A CLAIM)
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Vehicle IDV IDV of Electrical IDV of Non-Electrical CNG/LPG KIT IDV Trailer IDV Body IDV Total IDV
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IG (`) Accessories (`) Accessories (`) (`) (`) (`) (`)
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1950000 -- -- -- -- 630000 2580000.00

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ADD-ONS (THE EXTRA COVERAGE FOR YOUR VEHICLE)

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Add Name Other details

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OWN DAMAGE PREMIUM [A] (`) LIABILITY PREMIUM [B] (`)

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Own Damage Premium (`) 2834.52 Basic Third-Party Liability (`) 43037.00
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43 Add-Ons Premium (`) 0.00

PA cover for Owner-Driver (`) --
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NCB Discount Amount (`) -708.63

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Legal Liability to Paid (`) Driver (Persons:1) 50.00

2-

50.00
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Legal Liability to Paid (`) Cleaner (Persons:1)

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43 PA cover for Paid Driver - IMT 17 of 200000 (Persons: 1)(`)

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37 120.00
7.
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PA cover for Paid Cleaner - IMT 17 of

120.00
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Public 200000(Persons: 1)(`)

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Total OD (`)
2125.89 Total Act (`) 43377.00
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Premium Premium
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Net Premium [A+B] (`) 45502.89

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5164.44
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IGST @ 12% = (`5164.44)

443.86
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IGST @ 18% = (`443.86)

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Total Premium (`) 51111.19

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I/We hereby affirmatively warrant/declare that the vehicle body-type is declared accurately and correctly. I/we further understand and acknowledge
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that, if the body-type is found to be other than what has been declared, shall amount to misrepresentation and Insurer shall have the right to cancel
the policy and/or reject any claim in accordance with policy terms and conditions and express clause attached on this policy.
AG Note: The above total OD premium is inclusive of all applicable loading / discounts viz (automobile association memberships, voluntary excess, anti-theft
handicap person, driver tuition, fiber glass, CNG/ LPG unit, geographical extension, imported vehicle etc., wherever applicable).
E If the “Own Damage Cover” under your policy is cancelled during the policy period, then your policy shall be governed by the standard terms and conditions
of “Act only” policy for the Third Party Cover during the remaining period of policy.

ENDORSEMENT
Invoice Number Invoice Date Gross Premium Igst Cgst Sgst Utgst Cess Net Premium
Policy No: D051321505
Page No: 1 of 2
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.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: RAJINDER PLACE
BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019
 Great Choice! Your Insurance Advisor is our
10 Preferred Partner part of ‘Chairman's Royal Club FY20-21’

Go Digit General Insurance Ltd. Schedule/Certificate

Digit Commercial Vehicle Package Policy - Goods Carrying Vehicle UIN No.: IRDAN158RP0001V01201819

IA054128763 2022-02-18 51111.19 5608.30 0.00 0.00 0.00 0.00 45502.89

OTHER DETAILS
Previous Insurer Go Digit General Insurance Limited
Previous Policy No. D026241778 Previous Policy Expiry Date 20-Feb-2022
IMT - Endorsements IMT-17,IMT-21,IMT-23,IMT-28,IMT-7

Invoice Number IA054128763

GSTIN/UIN No. 06AAACO6885C1ZF State Code 6

Payment Mode Online Cheque/Transation No 2_dp-DI3E0CF24438D3-1
Bank Name IFSC/MICR No --
Premium Payment Details Receipt No. RA055254401 Receipt Date 18-Feb-2022
Financier Details Nominee Details --
AXIS BANK LTD

Details of Existing Damages --

Other details --

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Follow these rules like you follow the rules of the road.

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Geographical Area -Any accidental loss damage and/or liability caused sustained or incurred within India shall be covered subject to and

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Conditions, unless specifically agreed and endorsed. Limitation as to use - The policy covers use of the vehicle only under a permit within the

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meaning of the Motor Vehicles Act 1988 or such a carriage falling under sub-section (3) of Section 66 of the Motor Vehicles Act, 1988. The policy

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does not cover use for Organised racing, Pace Making, Reliability Trials, Speed Testing, Use whilst drawing a trailer except the towing (other

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than for reward) of any one disabled Mechanically propelled vehicle (only for Passenger Carrying Vehicle). Person or Class of persons entitled

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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
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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
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amendment as applicable. Limits of Liability: 1) Under Section I of the policy - IDV as shown in the schedule. 2) Under Section II - 1 (i) of the
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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
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(ii) of the policy: Damage to Third Party Property - `750000 4) P.A. Cover for Owner Driver under Section III (CSI): `
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PUC Declaration:The Policy has been issued subject to valid Pollution Under Control (PUC) Certificate disclosed by you as an insured on or
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before the date of commencement of the Policy . NCB Declaration: The premium has been charged and policy has been issued subject to NCB
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declared by you as an insured. In the event of NCB found wrongly declared at any point of time during policy period, all benefits and coverages
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under the Policy in respect of section I of the Policy will stand forfeited. If there is any disagreement, write to us within 7 days from the date of
issuance of policy or before the start date of period of insurance whichever is earlier.
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Important Note: Please inform the Company in case of change on account of addition of CNG/PNG kit.
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Break in Insurance: The policy is issued subject to acceptance of risk after evaluation of the Vehicle Inspection report. Own Damage cover
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(Section - I) would not commence unless the satisfactory Vehicle Inspection report has been received by us. If the Company does not receive the
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Vehicle Inspection report or the report is adverse, the Company, at its discretion, will cancel Policy as per the Motor Tariff.
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Pre-existing Damages: All types of pre-existing damages or cost of repair of such damage will be excluded at the time of claim settlement.
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Policy would be void on the ground that it was obtained of material fact or by a representation of fact which was false in some material
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particular.
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Cheque dishonor / Non-receipt of payment premium paid through Cheque, the policy is void ab-initio in case of dishonor of Cheque or non-
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receipt of payment.
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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
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subsequent amendment as applicable. Any violation will forfeit all benefits and coverages under the Policy. The insured is not indemnified if the
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vehicle is used or driven otherwise than in accordance with this Schedule. This policy is subject to the standard policy wordings, warranties and
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conditions applicable for this product in addition to Indian Motor Tariff. 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
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Terms And Right Of Recovery) in the policy.

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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.
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For & On Behalf of Go Digit General Insurance Ltd.

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In case of claim or any other query, please contact our 24-hour

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Call Centre at 1800-258-5956 or email us at [email protected]

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or visit our website www.godigit.com.

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Praveen Bhat
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Senior Vice President - Customer Experience

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[email protected]
Authorized Signatory
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Printed, Signed, and Executed at Bengaluru

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Consolidated Stamp Duty has been paid as per Letter of

Authorization No.67-B/04/2017-18 Date: 30th May 2017
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issued by Department of Stamps and Registration ,

Bengaluru- 560009 - KARNATAKA.
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Policy No: D051321505

Page No: 2 of 2
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.: 07AACCO4128Q1Z2 HSN: 997134/General Insurance Services, GSTIN Address: RAJINDER PLACE
BUSINESS CENTRE,5th Floor, B Wing, IFCI Tower, 61, Nehru Place,New Delhi,Delhi,PIN-110019